How much rates vary
Facilitymedian $5 · 10th to 90th $5 to $8Professionalmedian $5 · 10th to 90th $3 to $6
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 $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $5.37 Typical High $5.37 | Professional | None | $3.63 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $2.69 Typical High $2.69 | Professional | 52 · Reduced service | $1.82 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $1.07 Typical High $1.07 | Professional | 53 · Discontinued | $0.72 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.69 Median $4.07 Typical High $4.07 | Professional | 54 · Surgery only | $2.69 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.54 Median $0.81 Typical High $0.81 | Professional | 55 · Aftercare only | $0.54 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.54 Typical High $0.54 | Professional | 56 · Pre-op care only | $0.36 | $0.54 | $0.54 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Moda Health Setting Facility Modifier None Typical Low $5.37 Median $5.50 Typical High $7.76 | Facility | None | $5.37 | $5.50 | $7.76 |
Moda Health Setting Professional Modifier None Typical Low $5.37 Median $5.50 Typical High $7.76 | Professional | None | $5.37 | $5.50 | $7.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 52 · Reduced service | $2.69 | $2.69 | $2.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.07 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 54 · Surgery only | $4.07 | $4.07 | $4.07 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | 55 · Aftercare only | $0.81 | $0.81 | $0.81 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.54 Median $0.54 Typical High $0.54 | Professional | 56 · Pre-op care only | $0.54 | $0.54 | $0.54 |
Premera BCBS Setting Professional Modifier None Typical Low $5.01 Median $5.62 Typical High $5.62 | Professional | None | $5.01 | $5.62 | $5.62 |
Providence Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $7.76 | Facility | None | $5.37 | $5.37 | $7.76 |
Providence Setting Professional Modifier None Typical Low $2.34 Median $5.37 Typical High $60.26 | Professional | None | $2.34 | $5.37 | $60.26 |
United Setting Professional Modifier None Typical Low $2.75 Median $2.82 Typical High $9.12 | Professional | None | $2.75 | $2.82 | $9.12 |
Where Alaska sits
The same service costs 3.0 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· 12th of 51
$5.37
RI $6.76NY $2.29
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.