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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $141.25 Typical High $141.25 | Professional | None | $93.33 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $46.77 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $18.62 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $104.71 Typical High $104.71 | Professional | 54 · Surgery only | $70.79 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $14.13 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $9.33 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $199.53 | Facility | None | $141.25 | $141.25 | $199.53 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 54 · Surgery only | $104.71 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $20.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
Premera BCBS Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | None | $128.82 | $144.54 | $144.54 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $199.53 | Facility | None | $141.25 | $141.25 | $199.53 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $144.54 | Professional | None | $60.26 | $109.65 | $144.54 |
United Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $181.97 | Professional | None | $70.79 | $74.13 | $181.97 |
Where Alaska sits
The same service costs 2.8 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· 9th of 51
$141
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.