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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $37.15 Typical High $37.15 | Professional | None | $20.42 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $10.23 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $4.07 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $3.09 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $3.72 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.04 | $3.72 | $3.72 |
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 $19.95 Median $37.15 Typical High $53.70 | Facility | None | $19.95 | $37.15 | $53.70 |
Moda Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $416.87 | Professional | None | $37.15 | $37.15 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $5.62 | $5.62 | $5.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $3.72 |
Premera BCBS Setting Facility Modifier None Typical Low $37.15 Median $42.66 Typical High $58.88 | Facility | None | $37.15 | $42.66 | $58.88 |
Premera BCBS Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $31.62 | Professional | None | $25.12 | $26.92 | $31.62 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $186.21 | Facility | None | $128.82 | $128.82 | $186.21 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $60.26 Typical High $125.89 | Professional | None | $25.70 | $60.26 | $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 6.3 times more in Massachusetts than in Indiana. 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· 32nd of 51
$37.15
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.