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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $7.94 | Professional | None | $6.61 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.31 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.32 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.90 Median $6.03 Typical High $6.03 | Professional | 54 · Surgery only | $4.90 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.20 Typical High $1.20 | Professional | 55 · Aftercare only | $1.00 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.66 Median $0.79 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.66 | $0.79 | $0.79 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Moda Health Setting Facility Modifier None Typical Low $7.94 Median $8.13 Typical High $11.48 | Facility | None | $7.94 | $8.13 | $11.48 |
Moda Health Setting Professional Modifier None Typical Low $7.94 Median $8.13 Typical High $12.59 | Professional | None | $7.94 | $8.13 | $12.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.98 | $3.98 | $3.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.58 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 54 · Surgery only | $6.03 | $6.03 | $6.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | 55 · Aftercare only | $1.20 | $1.20 | $1.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.79 | $0.79 | $0.79 |
Premera BCBS Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $8.13 | Professional | None | $7.41 | $8.13 | $8.13 |
Providence Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $11.48 | Facility | None | $7.94 | $7.94 | $11.48 |
Providence Setting Professional Modifier None Typical Low $3.47 Median $7.94 Typical High $60.26 | Professional | None | $3.47 | $7.94 | $60.26 |
United Setting Professional Modifier None Typical Low $4.07 Median $4.17 Typical High $17.78 | Professional | None | $4.07 | $4.17 | $17.78 |
Where Alaska sits
The same service costs 4.1 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
$7.94
RI $13.80NY $3.39
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.