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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | None | $42.66 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $21.38 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.51 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $6.46 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.57 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.27 | $4.57 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $57.54 | Professional | None | $22.39 | $22.39 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $45.71 Median $46.77 Typical High $66.07 | Facility | None | $45.71 | $46.77 | $66.07 |
Moda Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | None | $45.71 | $45.71 | $52.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $22.91 | $22.91 | $22.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $9.33 | $9.33 | $9.33 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $6.92 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $4.57 |
Premera BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
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 $46.77 Median $46.77 Typical High $66.07 | Facility | None | $46.77 | $46.77 | $66.07 |
Providence Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $79.43 | Professional | None | $22.39 | $22.39 | $79.43 |
United Setting Professional Modifier None Typical Low $10.96 Median $23.99 Typical High $28.18 | Professional | None | $10.96 | $23.99 | $28.18 |
Where Alaska sits
The same service costs 3.3 times more in Montana than in Missouri. 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
$45.71
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.