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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $912.01 Typical High $912.01 | Professional | None | $501.19 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $251.19 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $100.00 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $75.86 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $50.12 | $91.20 | $91.20 |
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 $489.78 Median $912.01 Typical High $1,288.25 | Facility | None | $489.78 | $912.01 | $1,288.25 |
Moda Health Setting Professional Modifier None Typical Low $213.80 Median $645.65 Typical High $912.01 | Professional | None | $213.80 | $645.65 | $912.01 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Premera BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $2,137.96 | Facility | None | $1,380.38 | $1,584.89 | $2,137.96 |
Premera BCBS Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,174.90 | Professional | None | $933.25 | $977.24 | $1,174.90 |
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 $125.89 Typical High $436.52 | Professional | None | $60.26 | $125.89 | $436.52 |
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 7.1 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
$631
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.