How much rates vary
Facilitymedian $1,071,519 · 10th to 90th $575,440 to $3,630,781Professionalmedian $645,654 · 10th to 90th $562,341 to $1,071,519
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 $1,071,519.31 Median $1,071,519.31 Typical High $3,630,780.55 | Facility | None | $1,071,519.31 | $1,071,519.31 | $3,630,780.55 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $1,071,519.31 Typical High $1,071,519.31 | Professional | None | $575,439.94 | $1,071,519.31 | $1,071,519.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $537,031.80 Typical High $537,031.80 | Professional | 52 · Reduced service | $288,403.15 | $537,031.80 | $537,031.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $213,796.21 Typical High $213,796.21 | Professional | 53 · Discontinued | $114,815.36 | $213,796.21 | $213,796.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $162,181.01 Typical High $162,181.01 | Professional | 55 · Aftercare only | $87,096.36 | $162,181.01 | $162,181.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $107,151.93 Typical High $107,151.93 | Professional | 56 · Pre-op care only | $57,543.99 | $107,151.93 | $107,151.93 |
Moda Health Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $3,630,780.55 | Facility | None | $575,439.94 | $575,439.94 | $3,630,780.55 |
Moda Health Setting Professional Modifier None Typical Low $562,341.33 Median $575,439.94 Typical High $1,047,128.55 | Professional | None | $562,341.33 | $575,439.94 | $1,047,128.55 |
Moda Health 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 |
Moda Health 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 |
Moda Health 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 |
Moda Health 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 |
Premera BCBS Setting Facility Modifier None Typical Low $562,341.33 Median $933,254.30 Typical High $1,479,108.39 | Facility | None | $562,341.33 | $933,254.30 | $1,479,108.39 |
Premera BCBS Setting Professional Modifier None Typical Low $562,341.33 Median $794,328.23 Typical High $794,328.23 | Professional | None | $562,341.33 | $794,328.23 | $794,328.23 |
Providence Setting Facility Modifier None Typical Low $1,071,519.31 Median $1,071,519.31 Typical High $1,548,816.62 | Facility | None | $1,071,519.31 | $1,071,519.31 | $1,548,816.62 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $630,957.34 Typical High $707,945.78 | Professional | None | $60.26 | $630,957.34 | $707,945.78 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $851,138.04 | Professional | None | $562,341.33 | $562,341.33 | $851,138.04 |
Where Alaska sits
The same service costs 1.7 times more in Texas than in Minnesota. 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
$676,083
TX $977,237MN $562,341
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.