How much rates vary
Facilitymedian $8 · 10th to 90th $8 to $11Professionalmedian $8 · 10th to 90th $4 to $8
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 $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.76 Typical High $7.76 | Professional | None | $7.59 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 54 · Surgery only | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 55 · Aftercare only | $1.15 | $1.15 | $1.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.78 | $0.78 | $0.78 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Moda Health Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $10.96 | Facility | None | $7.76 | $7.76 | $10.96 |
Moda Health Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | None | $7.76 | $7.76 | $12.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.89 | $3.89 | $3.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.55 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 54 · Surgery only | $5.75 | $5.75 | $5.75 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 55 · Aftercare only | $1.15 | $1.15 | $1.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.78 | $0.78 | $0.78 |
Premera BCBS Setting Professional Modifier None Typical Low $7.08 Median $7.94 Typical High $7.94 | Professional | None | $7.08 | $7.94 | $7.94 |
Providence Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $10.96 | Facility | None | $7.59 | $7.59 | $10.96 |
Providence Setting Professional Modifier None Typical Low $3.39 Median $7.76 Typical High $60.26 | Professional | None | $3.39 | $7.76 | $60.26 |
United Setting Professional Modifier None Typical Low $3.89 Median $4.07 Typical High $14.13 | Professional | None | $3.89 | $4.07 | $14.13 |
Where Alaska sits
The same service costs 3.2 times more in Rhode Island than in New York. 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· 10th of 51
$7.76
RI $10.72NY $3.31
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.