How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $6Professionalmedian $4 · 10th to 90th $2 to $4
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 $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | None | $3.24 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $1.62 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.65 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.40 Median $3.02 Typical High $3.02 | Professional | 54 · Surgery only | $2.40 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $0.60 Typical High $0.60 | Professional | 55 · Aftercare only | $0.48 | $0.60 | $0.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.40 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.32 | $0.40 | $0.40 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Moda Health Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $5.75 | Facility | None | $4.07 | $4.07 | $5.75 |
Moda Health Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.75 | Professional | None | $4.07 | $4.07 | $5.75 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.81 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 54 · Surgery only | $3.02 | $3.02 | $3.02 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | 55 · Aftercare only | $0.60 | $0.60 | $0.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.40 | $0.40 | $0.40 |
Premera BCBS Setting Professional Modifier None Typical Low $3.72 Median $4.17 Typical High $4.17 | Professional | None | $3.72 | $4.17 | $4.17 |
Providence Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $5.75 | Facility | None | $3.98 | $3.98 | $5.75 |
Providence Setting Professional Modifier None Typical Low $1.78 Median $4.07 Typical High $60.26 | Professional | None | $1.78 | $4.07 | $60.26 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.09 Typical High $9.12 | Professional | None | $2.04 | $2.09 | $9.12 |
Where Alaska sits
The same service costs 4.0 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· 10th of 51
$4.07
RI $6.76NY $1.70
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.