How much rates vary
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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $31.62 Typical High $31.62 | Professional | None | $18.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $10.47 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $4.17 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.85 Median $23.44 Typical High $23.44 | Professional | 54 · Surgery only | $15.85 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $3.16 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.09 | $3.16 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Moda Health Setting Facility Modifier None Typical Low $31.62 Median $32.36 Typical High $44.67 | Facility | None | $31.62 | $32.36 | $44.67 |
Moda Health Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $44.67 | Professional | None | $31.62 | $32.36 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 54 · Surgery only | $23.44 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $3.16 |
Premera BCBS Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | None | $28.84 | $32.36 | $32.36 |
Providence Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $44.67 | Facility | None | $31.62 | $31.62 | $44.67 |
Providence Setting Professional Modifier None Typical Low $13.80 Median $31.62 Typical High $60.26 | Professional | None | $13.80 | $31.62 | $60.26 |
United Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $43.65 | Professional | None | $15.85 | $16.60 | $43.65 |
Where Alaska sits
The same service costs 2.6 times more in Hawaii 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
$31.62
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.