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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $56.23 | Professional | None | $34.67 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $17.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $6.92 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $36.31 Typical High $36.31 | Professional | 54 · Surgery only | $26.30 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $7.41 Typical High $7.41 | Professional | 55 · Aftercare only | $5.25 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $4.90 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.47 | $4.90 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Moda Health Setting Facility Modifier None Typical Low $48.98 Median $50.12 Typical High $70.79 | Facility | None | $48.98 | $50.12 | $70.79 |
Moda Health Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $69.18 | Professional | None | $48.98 | $50.12 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $24.55 | $24.55 | $24.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 54 · Surgery only | $37.15 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $7.41 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $4.90 |
Premera BCBS Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Providence Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $69.18 | Facility | None | $48.98 | $48.98 | $69.18 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $48.98 Typical High $60.26 | Professional | None | $21.38 | $48.98 | $60.26 |
United Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $95.50 | Professional | None | $25.12 | $25.70 | $95.50 |
Where Alaska sits
The same service costs 2.6 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
$50.12
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.