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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $162.18 Typical High $162.18 | Professional | None | $100.00 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $50.12 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $19.95 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $15.14 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.00 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $316.23 Typical High $933.25 | Facility | None | $186.21 | $316.23 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $234.42 | Facility | None | $120.23 | $162.18 | $234.42 |
Moda Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $416.87 | Professional | None | $162.18 | $162.18 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $24.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $16.22 |
Premera BCBS Setting Facility Modifier None Typical Low $102.33 Median $194.98 Typical High $407.38 | Facility | None | $102.33 | $194.98 | $407.38 |
Premera BCBS Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $144.54 | Professional | None | $114.82 | $120.23 | $144.54 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $302.00 Typical High $933.25 | Facility | None | $128.82 | $302.00 | $933.25 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $125.89 Typical High $138.04 | Professional | None | $60.26 | $125.89 | $138.04 |
United Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $346.74 | Professional | None | $125.89 | $190.55 | $346.74 |
Where Alaska sits
The same service costs 4.4 times more in North Dakota than in Kentucky. 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· 3rd of 51
$162
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.