How much rates vary
Facilitymedian $22 · 10th to 90th $22 to $32Professionalmedian $22 · 10th to 90th $12 to $25
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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $22.39 | Professional | None | $14.13 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $7.41 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $2.95 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11.22 Median $16.60 Typical High $16.60 | Professional | 54 · Surgery only | $11.22 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $2.24 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.48 | $2.24 | $2.24 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Moda Health Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $31.62 | Facility | None | $22.39 | $22.39 | $31.62 |
Moda Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $34.67 | Professional | None | $22.39 | $22.39 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $11.22 | $11.22 | $11.22 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.47 | $4.47 | $4.47 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 54 · Surgery only | $16.60 | $16.60 | $16.60 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $3.31 | $3.31 | $3.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $2.24 | $2.24 | $2.24 |
Premera BCBS Setting Professional Modifier None Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | None | $20.42 | $22.91 | $22.91 |
Providence Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $31.62 | Facility | None | $21.88 | $21.88 | $31.62 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $22.39 Typical High $60.26 | Professional | None | $9.77 | $22.39 | $60.26 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $35.48 | Professional | None | $11.22 | $11.75 | $35.48 |
Where Alaska sits
The same service costs 2.9 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· 9th of 51
$22.39
RI $26.92NY $9.33
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.