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 $275.42 Median $275.42 Typical High $891.25 | Facility | None | $275.42 | $275.42 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $275.42 Typical High $275.42 | Professional | None | $147.91 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $74.13 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $29.51 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $22.39 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $14.79 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | None | $147.91 | $147.91 | $154.88 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $275.42 Typical High $933.25 | Facility | None | $147.91 | $275.42 | $933.25 |
Moda Health Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $251.19 | Professional | None | $147.91 | $151.36 | $251.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $67.61 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $26.92 | $50.12 | $50.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $20.42 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $13.49 | $25.12 | $25.12 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $588.84 Typical High $912.01 | Facility | None | $162.18 | $588.84 | $912.01 |
Premera BCBS Setting Professional Modifier None Typical Low $162.18 Median $501.19 Typical High $501.19 | Professional | None | $162.18 | $501.19 | $501.19 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $398.11 | Facility | None | $275.42 | $275.42 | $398.11 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $147.91 Typical High $181.97 | Professional | None | $60.26 | $147.91 | $181.97 |
United Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $275.42 | Professional | None | $134.90 | $204.17 | $275.42 |
Where Alaska sits
The same service costs 2.4 times more in Wyoming than in New York. 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
$182
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.