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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $190.55 Typical High $190.55 | Professional | None | $104.71 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $52.48 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $20.89 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $15.85 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $10.47 | $19.05 | $19.05 |
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 $102.33 Median $190.55 Typical High $269.15 | Facility | None | $102.33 | $190.55 | $269.15 |
Moda Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $416.87 | Professional | None | $190.55 | $190.55 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $19.05 | $19.05 | $19.05 |
Premera BCBS Setting Facility Modifier None Typical Low $380.19 Median $436.52 Typical High $588.84 | Facility | None | $380.19 | $436.52 | $588.84 |
Premera BCBS Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $323.59 | Professional | None | $257.04 | $269.15 | $323.59 |
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 $144.54 | Professional | None | $60.26 | $125.89 | $144.54 |
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 2.4 times more in Wyoming than in North Carolina. 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
$191
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.