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 $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $16.98 Typical High $16.98 | Professional | None | $10.72 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $5.75 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $2.29 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.51 Median $12.88 Typical High $12.88 | Professional | 54 · Surgery only | $8.51 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $2.57 Typical High $2.57 | Professional | 55 · Aftercare only | $1.74 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.15 Median $1.74 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.15 | $1.74 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Moda Health Setting Facility Modifier None Typical Low $16.98 Median $17.38 Typical High $24.55 | Facility | None | $16.98 | $17.38 | $24.55 |
Moda Health Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $24.55 | Professional | None | $16.98 | $17.38 | $24.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 54 · Surgery only | $12.88 | $12.88 | $12.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 55 · Aftercare only | $2.57 | $2.57 | $2.57 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.74 | $1.74 | $1.74 |
Premera BCBS Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | None | $15.85 | $17.78 | $17.78 |
Providence Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $24.55 | Facility | None | $16.98 | $16.98 | $24.55 |
Providence Setting Professional Modifier None Typical Low $7.59 Median $16.98 Typical High $60.26 | Professional | None | $7.59 | $16.98 | $60.26 |
United Setting Professional Modifier None Typical Low $8.71 Median $8.91 Typical High $22.39 | Professional | None | $8.71 | $8.91 | $22.39 |
Where Alaska sits
The same service costs 2.7 times more in Idaho 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
$16.98
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.