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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $141.25 | Professional | None | $77.62 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $38.90 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $15.85 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $11.75 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $7.76 | $14.13 | $14.13 |
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 $75.86 Median $141.25 Typical High $204.17 | Facility | None | $75.86 | $141.25 | $204.17 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $416.87 | Professional | None | $141.25 | $141.25 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $21.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $14.13 |
Premera BCBS Setting Facility Modifier None Typical Low $467.74 Median $537.03 Typical High $741.31 | Facility | None | $467.74 | $537.03 | $741.31 |
Premera BCBS Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $398.11 | Professional | None | $316.23 | $338.84 | $398.11 |
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 $107.15 Typical High $125.89 | Professional | None | $60.26 | $107.15 | $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 3.8 times more in Wyoming than in Kentucky. 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
$141
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.