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 $0.20 Median $0.20 Typical High $0.71 | Facility | None | $0.20 | $0.20 | $0.71 |
Aetna Setting Professional Modifier None Typical Low $0.12 Median $0.20 Typical High $0.20 | Professional | None | $0.12 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.06 Median $0.10 Typical High $0.10 | Professional | 52 · Reduced service | $0.06 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.04 Typical High $0.04 | Professional | 53 · Discontinued | $0.02 | $0.04 | $0.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.02 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
Cigna Setting Professional Modifier None Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | None | $0.13 | $0.13 | $0.13 |
Moda Health Setting Facility Modifier None Typical Low $0.20 Median $0.29 Typical High $10.96 | Facility | None | $0.20 | $0.29 | $10.96 |
Moda Health Setting Professional Modifier None Typical Low $0.12 Median $0.20 Typical High $2.82 | Professional | None | $0.12 | $0.20 | $2.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.06 Median $0.10 Typical High $0.10 | Professional | 52 · Reduced service | $0.06 | $0.10 | $0.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.04 Typical High $0.04 | Professional | 53 · Discontinued | $0.02 | $0.04 | $0.04 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.02 | $0.03 | $0.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
Premera BCBS Setting Facility Modifier None Typical Low $0.21 Median $0.24 Typical High $0.33 | Facility | None | $0.21 | $0.24 | $0.33 |
Premera BCBS Setting Professional Modifier None Typical Low $0.14 Median $0.18 Typical High $0.18 | Professional | None | $0.14 | $0.18 | $0.18 |
Providence Setting Facility Modifier None Typical Low $0.20 Median $0.20 Typical High $0.29 | Facility | None | $0.20 | $0.20 | $0.29 |
Providence Setting Professional Modifier None Typical Low $0.13 Median $0.13 Typical High $60.26 | Professional | None | $0.13 | $0.13 | $60.26 |
United Setting Professional Modifier None Typical Low $0.13 Median $0.20 Typical High $0.33 | Professional | None | $0.13 | $0.20 | $0.33 |
Where Alaska sits
The same service costs 32.4 times more in Montana 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· 4th of 51
$0.20
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.