How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $4Professionalmedian $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 $0.55 Median $0.55 Typical High $1.95 | Facility | None | $0.55 | $0.55 | $1.95 |
Aetna Setting Professional Modifier None Typical Low $0.33 Median $0.55 Typical High $0.55 | Professional | None | $0.33 | $0.55 | $0.55 |
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 $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.05 | $0.08 | $0.08 |
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 $0.35 Median $0.35 Typical High $0.35 | Professional | None | $0.35 | $0.35 | $0.35 |
Moda Health Setting Facility Modifier None Typical Low $0.55 Median $1.26 Typical High $9.55 | Facility | None | $0.55 | $1.26 | $9.55 |
Moda Health Setting Professional Modifier None Typical Low $0.34 Median $0.55 Typical High $0.55 | Professional | None | $0.34 | $0.55 | $0.55 |
Moda Health 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 |
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 $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.05 | $0.08 | $0.08 |
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 $0.56 Median $0.66 Typical High $0.89 | Facility | None | $0.56 | $0.66 | $0.89 |
Premera BCBS Setting Professional Modifier None Typical Low $0.39 Median $0.49 Typical High $0.49 | Professional | None | $0.39 | $0.49 | $0.49 |
Providence Setting Facility Modifier None Typical Low $0.55 Median $0.55 Typical High $0.79 | Facility | None | $0.55 | $0.55 | $0.79 |
Providence Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $60.26 | Professional | None | $0.35 | $0.35 | $60.26 |
United Setting Professional Modifier None Typical Low $0.34 Median $0.51 Typical High $0.85 | Professional | None | $0.34 | $0.51 | $0.85 |
Where Alaska sits
The same service costs 1.6 times more in Montana than in Michigan. 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· 2nd of 51
$0.51
MT $0.52MI $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.