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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | None | $41.69 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $20.89 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.32 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.31 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.17 | $4.37 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $53.70 | Professional | None | $19.95 | $19.95 | $53.70 |
Moda Health Setting Facility Modifier None Typical Low $43.65 Median $44.67 Typical High $61.66 | Facility | None | $43.65 | $44.67 | $61.66 |
Moda Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | None | $43.65 | $43.65 | $52.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $4.37 |
Premera BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Premera BCBS Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $63.10 | Facility | None | $43.65 | $43.65 | $63.10 |
Providence Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $79.43 | Professional | None | $19.95 | $19.95 | $79.43 |
United Setting Professional Modifier None Typical Low $10.96 Median $22.91 Typical High $26.92 | Professional | None | $10.96 | $22.91 | $26.92 |
Where Alaska sits
The same service costs 3.2 times more in Montana than in Indiana. 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· 6th of 51
$43.65
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.