How much rates vary
Facilitymedian $15 · 10th to 90th $14 to $21Professionalmedian $15 · 10th to 90th $8 to $17
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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $15.49 | Professional | None | $13.80 | $14.45 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $6.92 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.82 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.47 Median $10.96 Typical High $10.96 | Professional | 54 · Surgery only | $10.47 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.19 Typical High $2.19 | Professional | 55 · Aftercare only | $2.09 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.41 | $1.45 | $1.45 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Moda Health Setting Facility Modifier None Typical Low $14.45 Median $14.79 Typical High $20.89 | Facility | None | $14.45 | $14.79 | $20.89 |
Moda Health Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $22.39 | Professional | None | $14.45 | $14.79 | $22.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 54 · Surgery only | $10.96 | $10.96 | $10.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 55 · Aftercare only | $2.19 | $2.19 | $2.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $1.45 |
Premera BCBS Setting Professional Modifier None Typical Low $13.18 Median $14.79 Typical High $14.79 | Professional | None | $13.18 | $14.79 | $14.79 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $20.42 | Facility | None | $14.45 | $14.45 | $20.42 |
Providence Setting Professional Modifier None Typical Low $6.31 Median $14.45 Typical High $60.26 | Professional | None | $6.31 | $14.45 | $60.26 |
United Setting Professional Modifier None Typical Low $7.41 Median $7.59 Typical High $35.48 | Professional | None | $7.41 | $7.59 | $35.48 |
Where Alaska sits
The same service costs 4.5 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· 8th of 51
$14.79
RI $27.54NY $6.17
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.