How much rates vary
Facilitymedian $141 · 10th to 90th $76 to $490Professionalmedian $91 · 10th to 90th $76 to $141
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $489.78 | Facility | None | $141.25 | $141.25 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $141.25 | Professional | None | $75.86 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $38.02 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $15.14 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $107.15 Typical High $107.15 | Professional | 54 · Surgery only | $57.54 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $11.48 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $7.59 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | None | $75.86 | $75.86 | $79.43 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $489.78 | Facility | None | $75.86 | $75.86 | $489.78 |
Moda Health Setting Professional Modifier None Typical Low $75.86 Median $77.62 Typical High $141.25 | Professional | None | $75.86 | $77.62 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $38.02 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $15.14 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $104.71 Typical High $104.71 | Professional | 54 · Surgery only | $56.23 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $11.22 | $20.89 | $20.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $7.59 | $14.13 | $14.13 |
Premera BCBS Setting Facility Modifier None Typical Low $75.86 Median $125.89 Typical High $199.53 | Facility | None | $75.86 | $125.89 | $199.53 |
Premera BCBS Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $107.15 | Professional | None | $75.86 | $107.15 | $107.15 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $204.17 | Facility | None | $141.25 | $141.25 | $204.17 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $97.72 | Professional | None | $60.26 | $75.86 | $97.72 |
United Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $154.88 | Professional | None | $75.86 | $112.20 | $154.88 |
Where Alaska sits
Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Alaska· 1st of 51
$93.33
AK $93.33NJ $75.86
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.