How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
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 $1.38 Median $1.38 Typical High $1.38 | Facility | None | $1.38 | $1.38 | $1.38 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $1.38 Typical High $1.38 | Professional | None | $0.81 | $1.38 | $1.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.41 Median $0.69 Typical High $0.69 | Professional | 52 · Reduced service | $0.41 | $0.69 | $0.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.16 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.12 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.08 | $0.14 | $0.14 |
Moda Health Setting Facility Modifier None Typical Low $1.38 Median $1.38 Typical High $1.95 | Facility | None | $1.38 | $1.38 | $1.95 |
Moda Health Setting Professional Modifier None Typical Low $0.81 Median $1.38 Typical High $60.26 | Professional | None | $0.81 | $1.38 | $60.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.41 Median $0.69 Typical High $0.69 | Professional | 52 · Reduced service | $0.41 | $0.69 | $0.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.16 | $0.28 | $0.28 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.12 | $0.21 | $0.21 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.08 | $0.14 | $0.14 |
Premera BCBS Setting Facility Modifier None Typical Low $1.45 Median $1.62 Typical High $2.24 | Facility | None | $1.45 | $1.62 | $2.24 |
Premera BCBS Setting Professional Modifier None Typical Low $0.98 Median $1.23 Typical High $1.23 | Professional | None | $0.98 | $1.23 | $1.23 |
Providence Setting Facility Modifier None Typical Low $1.38 Median $1.38 Typical High $1.95 | Facility | None | $1.38 | $1.38 | $1.95 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | None | $0.87 | $0.87 | $0.87 |
Where Alaska sits
The same service costs 173.8 times more in Missouri than in Illinois. 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· 21st of 51
$1.38
MO $141IL $0.81
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.