How much rates vary
Facilitymedian $1,000,000 · 10th to 90th $562,341 to $3,467,369Professionalmedian $616,595 · 10th to 90th $537,032 to $1,047,129
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 $1,047,128.55 Median $1,047,128.55 Typical High $3,467,368.50 | Facility | None | $1,047,128.55 | $1,047,128.55 | $3,467,368.50 |
Aetna Setting Professional Modifier None Typical Low $562,341.33 Median $1,047,128.55 Typical High $1,047,128.55 | Professional | None | $562,341.33 | $1,047,128.55 | $1,047,128.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $524,807.46 Typical High $524,807.46 | Professional | 52 · Reduced service | $281,838.29 | $524,807.46 | $524,807.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $208,929.61 Typical High $208,929.61 | Professional | 53 · Discontinued | $112,201.85 | $208,929.61 | $208,929.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $158,489.32 Typical High $158,489.32 | Professional | 55 · Aftercare only | $85,113.80 | $158,489.32 | $158,489.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $104,712.85 Typical High $104,712.85 | Professional | 56 · Pre-op care only | $56,234.13 | $104,712.85 | $104,712.85 |
Moda Health Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $3,467,368.50 | Facility | None | $562,341.33 | $562,341.33 | $3,467,368.50 |
Moda Health Setting Professional Modifier None Typical Low $537,031.80 Median $562,341.33 Typical High $1,000,000.00 | Professional | None | $537,031.80 | $562,341.33 | $1,000,000.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $263,026.80 Median $489,778.82 Typical High $489,778.82 | Professional | 52 · Reduced service | $263,026.80 | $489,778.82 | $489,778.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107,151.93 Median $199,526.23 Typical High $199,526.23 | Professional | 53 · Discontinued | $107,151.93 | $199,526.23 | $199,526.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $79,432.82 Median $147,910.84 Typical High $147,910.84 | Professional | 55 · Aftercare only | $79,432.82 | $147,910.84 | $147,910.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53,703.18 Median $100,000.00 Typical High $100,000.00 | Professional | 56 · Pre-op care only | $53,703.18 | $100,000.00 | $100,000.00 |
Premera BCBS Setting Facility Modifier None Typical Low $537,031.80 Median $851,138.04 Typical High $1,318,256.74 | Facility | None | $537,031.80 | $851,138.04 | $1,318,256.74 |
Premera BCBS Setting Professional Modifier None Typical Low $537,031.80 Median $724,435.96 Typical High $724,435.96 | Professional | None | $537,031.80 | $724,435.96 | $724,435.96 |
Providence Setting Facility Modifier None Typical Low $1,047,128.55 Median $1,047,128.55 Typical High $1,479,108.39 | Facility | None | $1,047,128.55 | $1,047,128.55 | $1,479,108.39 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $616,595.00 Typical High $676,082.98 | Professional | None | $60.26 | $616,595.00 | $676,082.98 |
United Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $794,328.23 | Professional | None | $537,031.80 | $537,031.80 | $794,328.23 |
Where Alaska sits
Rates are fairly even across states for this service. 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· 9th of 51
$616,595
MS $676,083NJ $537,032
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.