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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $204.17 | Professional | None | $125.89 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $61.66 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $25.12 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $30.20 Typical High $30.20 | Professional | 55 · Aftercare only | $18.62 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $12.59 | $20.42 | $20.42 |
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 $151.36 Median $204.17 Typical High $288.40 | Facility | None | $151.36 | $204.17 | $288.40 |
Moda Health Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $416.87 | Professional | None | $194.98 | $204.17 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $30.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $20.42 |
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 $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $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 1.7 times more in Alaska 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· 1st of 51
$204
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.