How much rates vary
Facilitymedian $16 · 10th to 90th $16 to $23Professionalmedian $16 · 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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $15.85 | Professional | None | $10.72 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $5.37 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $2.14 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.94 Median $12.02 Typical High $12.02 | Professional | 54 · Surgery only | $7.94 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $2.40 Typical High $2.40 | Professional | 55 · Aftercare only | $1.58 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.58 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.07 | $1.58 | $1.58 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Moda Health Setting Facility Modifier None Typical Low $15.85 Median $16.22 Typical High $22.91 | Facility | None | $15.85 | $16.22 | $22.91 |
Moda Health Setting Professional Modifier None Typical Low $15.85 Median $16.22 Typical High $23.44 | Professional | None | $15.85 | $16.22 | $23.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.94 | $7.94 | $7.94 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.24 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 54 · Surgery only | $12.02 | $12.02 | $12.02 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 55 · Aftercare only | $2.40 | $2.40 | $2.40 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.58 | $1.58 | $1.58 |
Premera BCBS Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $16.60 | Professional | None | $14.79 | $16.60 | $16.60 |
Providence Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $22.91 | Facility | None | $15.85 | $15.85 | $22.91 |
Providence Setting Professional Modifier None Typical Low $7.08 Median $15.85 Typical High $60.26 | Professional | None | $7.08 | $15.85 | $60.26 |
United Setting Professional Modifier None Typical Low $8.13 Median $8.32 Typical High $20.89 | Professional | None | $8.13 | $8.32 | $20.89 |
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· 10th of 51
$15.85
HI $18.62NY $6.76
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.