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 $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 $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 $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 $194.98 Median $245.47 Typical High $416.87 | Professional | None | $194.98 | $245.47 | $416.87 |
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 $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 $223.87 | Professional | None | $125.89 | $125.89 | $223.87 |
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 2.4 times more in Alaska 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· 1st of 51
$245
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.