How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $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 $0.76 Median $0.76 Typical High $2.63 | Facility | None | $0.76 | $0.76 | $2.63 |
Aetna Setting Professional Modifier None Typical Low $0.45 Median $0.76 Typical High $0.76 | Professional | None | $0.45 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.38 Typical High $0.38 | Professional | 52 · Reduced service | $0.23 | $0.38 | $0.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.09 | $0.15 | $0.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.11 Typical High $0.11 | Professional | 55 · Aftercare only | $0.07 | $0.11 | $0.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.05 | $0.08 | $0.08 |
Cigna Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | None | $0.48 | $0.48 | $0.48 |
Moda Health Setting Facility Modifier None Typical Low $0.76 Median $1.10 Typical High $2.63 | Facility | None | $0.76 | $1.10 | $2.63 |
Moda Health Setting Professional Modifier None Typical Low $0.46 Median $0.76 Typical High $0.76 | Professional | None | $0.46 | $0.76 | $0.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.38 Typical High $0.38 | Professional | 52 · Reduced service | $0.23 | $0.38 | $0.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.09 | $0.15 | $0.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.11 Typical High $0.11 | Professional | 55 · Aftercare only | $0.07 | $0.11 | $0.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.05 | $0.08 | $0.08 |
Premera BCBS Setting Facility Modifier None Typical Low $0.78 Median $0.89 Typical High $1.23 | Facility | None | $0.78 | $0.89 | $1.23 |
Premera BCBS Setting Professional Modifier None Typical Low $0.52 Median $0.68 Typical High $0.68 | Professional | None | $0.52 | $0.68 | $0.68 |
Providence Setting Facility Modifier None Typical Low $0.76 Median $0.76 Typical High $1.10 | Facility | None | $0.76 | $0.76 | $1.10 |
Providence Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $60.26 | Professional | None | $0.48 | $0.48 | $60.26 |
United Setting Professional Modifier None Typical Low $0.47 Median $0.71 Typical High $1.17 | Professional | None | $0.47 | $0.71 | $1.17 |
Where Alaska sits
The same service costs 2.3 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· 4th of 51
$0.71
MT $1.05MI $0.45
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.