How much rates vary
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 $104.71 Median $104.71 Typical High $346.74 | Facility | None | $104.71 | $104.71 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $104.71 Typical High $104.71 | Professional | None | $56.23 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $28.18 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $11.22 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $8.51 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.62 | $10.47 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $58.88 | Professional | None | $56.23 | $56.23 | $58.88 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $346.74 | Facility | None | $56.23 | $56.23 | $346.74 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $100.00 | Professional | None | $56.23 | $60.26 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $26.92 | $50.12 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $10.72 | $19.95 | $19.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $7.94 | $14.79 | $14.79 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $5.37 | $10.00 | $10.00 |
Premera BCBS Setting Facility Modifier None Typical Low $53.70 Median $95.50 Typical High $151.36 | Facility | None | $53.70 | $95.50 | $151.36 |
Premera BCBS Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $83.18 | Professional | None | $53.70 | $83.18 | $83.18 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $151.36 | Facility | None | $104.71 | $104.71 | $151.36 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $72.44 | Professional | None | $56.23 | $60.26 | $72.44 |
United Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $109.65 | Professional | None | $53.70 | $79.43 | $109.65 |
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
$69.18
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.