How much rates vary
Facilitymedian $251 · 10th to 90th $245 to $363Professionalmedian $245 · 10th to 90th $151 to $269
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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $245.47 | Professional | None | $147.91 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $30.20 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $22.39 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $14.79 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $245.47 Typical High $346.74 | Facility | None | $181.97 | $245.47 | $346.74 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $245.47 Typical High $245.47 | Professional | None | $154.88 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
Premera BCBS Setting Facility Modifier None Typical Low $251.19 Median $288.40 Typical High $398.11 | Facility | None | $251.19 | $288.40 | $398.11 |
Premera BCBS Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $213.80 | Professional | None | $169.82 | $181.97 | $213.80 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $346.74 | Facility | None | $245.47 | $245.47 | $346.74 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $151.36 Typical High $223.87 | Professional | None | $60.26 | $151.36 | $223.87 |
United Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $489.78 | Professional | None | $181.97 | $269.15 | $489.78 |
Where Alaska sits
The same service costs 2.2 times more in North Carolina than in Michigan. 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
$245
NC $324MI $145
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.