How much rates vary
Facilitymedian $912,011 · 10th to 90th $512,861 to $3,162,278Professionalmedian $616,595 · 10th to 90th $489,779 to $954,993
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 $954,992.59 Median $954,992.59 Typical High $3,162,277.66 | Facility | None | $954,992.59 | $954,992.59 | $3,162,277.66 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $954,992.59 Typical High $954,992.59 | Professional | None | $512,861.38 | $954,992.59 | $954,992.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $478,630.09 Typical High $478,630.09 | Professional | 52 · Reduced service | $257,039.58 | $478,630.09 | $478,630.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $190,546.07 Typical High $190,546.07 | Professional | 53 · Discontinued | $102,329.30 | $190,546.07 | $190,546.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $141,253.75 Typical High $141,253.75 | Professional | 55 · Aftercare only | $75,857.76 | $141,253.75 | $141,253.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $95,499.26 Typical High $95,499.26 | Professional | 56 · Pre-op care only | $51,286.14 | $95,499.26 | $95,499.26 |
Moda Health Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $3,162,277.66 | Facility | None | $512,861.38 | $512,861.38 | $3,162,277.66 |
Moda Health Setting Professional Modifier None Typical Low $489,778.82 Median $512,861.38 Typical High $912,010.84 | Professional | None | $489,778.82 | $512,861.38 | $912,010.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $245,470.89 Median $457,088.19 Typical High $457,088.19 | Professional | 52 · Reduced service | $245,470.89 | $457,088.19 | $457,088.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $97,723.72 Median $181,970.09 Typical High $181,970.09 | Professional | 53 · Discontinued | $97,723.72 | $181,970.09 | $181,970.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $74,131.02 Median $138,038.43 Typical High $138,038.43 | Professional | 55 · Aftercare only | $74,131.02 | $138,038.43 | $138,038.43 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $48,977.88 Median $91,201.08 Typical High $91,201.08 | Professional | 56 · Pre-op care only | $48,977.88 | $91,201.08 | $91,201.08 |
Premera BCBS Setting Facility Modifier None Typical Low $489,778.82 Median $776,247.12 Typical High $1,230,268.77 | Facility | None | $489,778.82 | $776,247.12 | $1,230,268.77 |
Premera BCBS Setting Professional Modifier None Typical Low $489,778.82 Median $660,693.45 Typical High $660,693.45 | Professional | None | $489,778.82 | $660,693.45 | $660,693.45 |
Providence Setting Facility Modifier None Typical Low $954,992.59 Median $954,992.59 Typical High $1,348,962.88 | Facility | None | $954,992.59 | $954,992.59 | $1,348,962.88 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $588,843.66 Typical High $676,082.98 | Professional | None | $60.26 | $588,843.66 | $676,082.98 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $741,310.24 | Professional | None | $489,778.82 | $489,778.82 | $741,310.24 |
Where Alaska sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 6th of 51
$616,595
TX $1,000,000NJ $489,779
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.