How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $0 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 $0.56 Median $0.56 Typical High $2.00 | Facility | None | $0.56 | $0.56 | $2.00 |
Aetna Setting Professional Modifier None Typical Low $0.34 Median $0.56 Typical High $0.56 | Professional | None | $0.34 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.17 Median $0.28 Typical High $0.28 | Professional | 52 · Reduced service | $0.17 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.11 Typical High $0.11 | Professional | 53 · Discontinued | $0.07 | $0.11 | $0.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.05 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.03 | $0.06 | $0.06 |
Cigna Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $0.36 | Professional | None | $0.36 | $0.36 | $0.36 |
Moda Health Setting Facility Modifier None Typical Low $0.58 Median $0.81 Typical High $2.00 | Facility | None | $0.58 | $0.81 | $2.00 |
Moda Health Setting Professional Modifier None Typical Low $0.35 Median $0.58 Typical High $0.58 | Professional | None | $0.35 | $0.58 | $0.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.17 Median $0.29 Typical High $0.29 | Professional | 52 · Reduced service | $0.17 | $0.29 | $0.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.11 Typical High $0.11 | Professional | 53 · Discontinued | $0.07 | $0.11 | $0.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.05 | $0.09 | $0.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.03 | $0.06 | $0.06 |
Premera BCBS Setting Facility Modifier None Typical Low $0.55 Median $0.62 Typical High $0.85 | Facility | None | $0.55 | $0.62 | $0.85 |
Premera BCBS Setting Professional Modifier None Typical Low $0.37 Median $0.47 Typical High $0.47 | Professional | None | $0.37 | $0.47 | $0.47 |
Providence Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.81 | Facility | None | $0.58 | $0.58 | $0.81 |
Providence Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $60.26 | Professional | None | $0.36 | $0.36 | $60.26 |
United Setting Professional Modifier None Typical Low $0.35 Median $0.52 Typical High $0.87 | Professional | None | $0.35 | $0.52 | $0.87 |
Where Alaska sits
The same service costs 1.6 times more in Alaska than in Hawaii. 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
$0.52
AK $0.52HI $0.33
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.