How much rates vary
Facilitymedian $224 · 10th to 90th $129 to $324Professionalmedian $170 · 10th to 90th $126 to $316
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $169.82 Typical High $169.82 | Professional | None | $93.33 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $46.77 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $19.05 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $14.13 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $9.33 | $16.98 | $16.98 |
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 $91.20 Median $169.82 Typical High $245.47 | Facility | None | $91.20 | $169.82 | $245.47 |
Moda Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $416.87 | Professional | None | $169.82 | $169.82 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $25.70 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $16.98 |
Premera BCBS Setting Facility Modifier None Typical Low $223.87 Median $257.04 Typical High $354.81 | Facility | None | $223.87 | $257.04 | $354.81 |
Premera BCBS Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $190.55 | Professional | None | $151.36 | $158.49 | $190.55 |
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 $60.26 Median $87.10 Typical High $125.89 | Professional | None | $60.26 | $87.10 | $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 2.1 times more in Alaska 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· 1st of 51
$170
AK $170MT $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.