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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $70.79 | Professional | None | $46.77 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $23.44 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $9.33 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $52.48 Typical High $52.48 | Professional | 54 · Surgery only | $35.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $7.08 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.68 | $7.08 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $100.00 | Facility | None | $70.79 | $70.79 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 54 · Surgery only | $52.48 | $52.48 | $52.48 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $10.47 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.08 |
Premera BCBS Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | None | $64.57 | $72.44 | $72.44 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $100.00 | Facility | None | $69.18 | $69.18 | $100.00 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $60.26 Typical High $72.44 | Professional | None | $30.90 | $60.26 | $72.44 |
United Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $91.20 | Professional | None | $35.48 | $37.15 | $91.20 |
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
$70.79
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.