How much rates vary
Facilitymedian $316 · 10th to 90th $186 to $933Professionalmedian $200 · 10th to 90th $126 to $479
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $199.53 | Professional | None | $109.65 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $54.95 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $21.88 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $16.60 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $19.95 Typical High $19.95 | Professional | 56 · Pre-op care only | $10.96 | $19.95 | $19.95 |
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 $107.15 Median $199.53 Typical High $281.84 | Facility | None | $107.15 | $199.53 | $281.84 |
Moda Health Setting Professional Modifier None Typical Low $194.98 Median $199.53 Typical High $407.38 | Professional | None | $194.98 | $199.53 | $407.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $39.81 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $29.51 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $19.95 |
Premera BCBS Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $1,230.27 | Facility | None | $398.11 | $794.33 | $1,230.27 |
Premera BCBS Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $676.08 | Professional | None | $537.03 | $562.34 | $676.08 |
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 $177.83 | Professional | None | $60.26 | $125.89 | $177.83 |
United Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $380.19 | Professional | None | $125.89 | $190.55 | $380.19 |
Where Alaska sits
The same service costs 6.0 times more in Wyoming than in Montana. 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
$200
WY $479MT $79.43
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.