How much rates vary
Facilitymedian $25 · 10th to 90th $25 to $35Professionalmedian $25 · 10th to 90th $13 to $26
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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | None | $17.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $8.71 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $3.47 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.18 Median $18.20 Typical High $18.20 | Professional | 54 · Surgery only | $13.18 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $2.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.45 Typical High $2.45 | Professional | 56 · Pre-op care only | $1.74 | $2.45 | $2.45 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $25.12 Typical High $34.67 | Facility | None | $24.55 | $25.12 | $34.67 |
Moda Health Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $34.67 | Professional | None | $24.55 | $25.12 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $4.90 | $4.90 | $4.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 54 · Surgery only | $18.20 | $18.20 | $18.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $3.63 | $3.63 | $3.63 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 56 · Pre-op care only | $2.45 | $2.45 | $2.45 |
Premera BCBS Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | None | $22.39 | $25.12 | $25.12 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $34.67 | Facility | None | $24.55 | $24.55 | $34.67 |
Providence Setting Professional Modifier None Typical Low $10.72 Median $24.55 Typical High $60.26 | Professional | None | $10.72 | $24.55 | $60.26 |
United Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $46.77 | Professional | None | $12.30 | $12.88 | $46.77 |
Where Alaska sits
The same service costs 3.5 times more in Rhode Island 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· 11th of 51
$24.55
RI $36.31NY $10.23
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.