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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $257.04 | Professional | None | $141.25 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $70.79 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $28.18 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $21.38 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $14.13 | $25.70 | $25.70 |
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 $138.04 Median $257.04 Typical High $363.08 | Facility | None | $138.04 | $257.04 | $363.08 |
Moda Health Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $416.87 | Professional | None | $194.98 | $257.04 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $128.82 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $51.29 | $51.29 | $51.29 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $25.70 |
Premera BCBS Setting Facility Modifier None Typical Low $501.19 Median $575.44 Typical High $794.33 | Facility | None | $501.19 | $575.44 | $794.33 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $436.52 | Professional | None | $338.84 | $363.08 | $436.52 |
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 $288.40 | Professional | None | $60.26 | $125.89 | $288.40 |
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 2.6 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· 3rd of 51
$257
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.