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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $851.14 | Professional | None | $478.63 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $239.88 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $95.50 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $70.79 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $47.86 | $85.11 | $85.11 |
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 $457.09 Median $851.14 Typical High $1,230.27 | Facility | None | $457.09 | $851.14 | $1,230.27 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $645.65 Typical High $851.14 | Professional | None | $218.78 | $645.65 | $851.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Premera BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $3,630.78 | Facility | None | $2,344.23 | $2,691.53 | $3,630.78 |
Premera BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $1,995.26 | Professional | None | $1,584.89 | $1,659.59 | $1,995.26 |
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 $645.65 | Professional | None | $125.89 | $125.89 | $645.65 |
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 12.0 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
$646
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.