How much rates vary
Facilitymedian $11 · 10th to 90th $11 to $16Professionalmedian $11 · 10th to 90th $6 to $11
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 $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $11.22 Typical High $11.22 | Professional | None | $7.08 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $3.72 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $1.48 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.62 Median $8.32 Typical High $8.32 | Professional | 54 · Surgery only | $5.62 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.66 Typical High $1.66 | Professional | 55 · Aftercare only | $1.12 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.74 Median $1.12 Typical High $1.12 | Professional | 56 · Pre-op care only | $0.74 | $1.12 | $1.12 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Moda Health Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $15.85 | Facility | None | $11.22 | $11.22 | $15.85 |
Moda Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | None | $11.22 | $11.22 | $16.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.24 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 54 · Surgery only | $8.32 | $8.32 | $8.32 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 55 · Aftercare only | $1.66 | $1.66 | $1.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 56 · Pre-op care only | $1.12 | $1.12 | $1.12 |
Premera BCBS Setting Professional Modifier None Typical Low $10.23 Median $11.48 Typical High $11.48 | Professional | None | $10.23 | $11.48 | $11.48 |
Providence Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $15.85 | Facility | None | $10.96 | $10.96 | $15.85 |
Providence Setting Professional Modifier None Typical Low $4.90 Median $11.22 Typical High $60.26 | Professional | None | $4.90 | $11.22 | $60.26 |
United Setting Professional Modifier None Typical Low $5.62 Median $5.75 Typical High $17.78 | Professional | None | $5.62 | $5.75 | $17.78 |
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
$11.22
RI $13.49NY $4.68
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.