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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $131.83 Typical High $131.83 | Professional | None | $74.13 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $37.15 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $14.79 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $10.96 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $7.41 | $13.18 | $13.18 |
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 $70.79 Median $131.83 Typical High $190.55 | Facility | None | $70.79 | $131.83 | $190.55 |
Moda Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $416.87 | Professional | None | $131.83 | $131.83 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.92 | $26.92 | $26.92 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $13.18 |
Premera BCBS Setting Facility Modifier None Typical Low $42.66 Median $144.54 Typical High $229.09 | Facility | None | $42.66 | $144.54 | $229.09 |
Premera BCBS Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $125.89 | Professional | None | $100.00 | $104.71 | $125.89 |
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 $83.18 Typical High $125.89 | Professional | None | $60.26 | $83.18 | $125.89 |
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 2.0 times more in North Dakota than in Maryland. 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· 2nd of 51
$132
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.