How much rates vary
Facilitymedian $5 · 10th to 90th $5 to $7Professionalmedian $5 · 10th to 90th $3 to $5
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 $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $5.13 Typical High $5.13 | Professional | None | $3.98 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.00 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.00 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $0.79 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.02 Median $3.89 Typical High $3.89 | Professional | 54 · Surgery only | $3.02 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.60 Median $0.78 Typical High $0.78 | Professional | 55 · Aftercare only | $0.60 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.51 Typical High $0.51 | Professional | 56 · Pre-op care only | $0.40 | $0.51 | $0.51 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Moda Health Setting Facility Modifier None Typical Low $5.13 Median $5.25 Typical High $7.41 | Facility | None | $5.13 | $5.25 | $7.41 |
Moda Health Setting Professional Modifier None Typical Low $5.13 Median $5.25 Typical High $7.41 | Professional | None | $5.13 | $5.25 | $7.41 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.57 | $2.57 | $2.57 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.02 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 54 · Surgery only | $3.89 | $3.89 | $3.89 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 55 · Aftercare only | $0.78 | $0.78 | $0.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | 56 · Pre-op care only | $0.51 | $0.51 | $0.51 |
Premera BCBS Setting Professional Modifier None Typical Low $4.68 Median $5.25 Typical High $5.25 | Professional | None | $4.68 | $5.25 | $5.25 |
Providence Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $7.24 | Facility | None | $5.13 | $5.13 | $7.24 |
Providence Setting Professional Modifier None Typical Low $2.24 Median $5.13 Typical High $60.26 | Professional | None | $2.24 | $5.13 | $60.26 |
United Setting Professional Modifier None Typical Low $2.57 Median $2.69 Typical High $10.72 | Professional | None | $2.57 | $2.69 | $10.72 |
Where Alaska sits
The same service costs 3.8 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· 11th of 51
$5.13
RI $8.32NY $2.19
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.