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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $64.57 | Professional | None | $46.77 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $23.44 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $9.33 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $7.08 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.68 | $6.46 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $79.43 | Professional | None | $26.30 | $26.30 | $79.43 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $91.20 | Facility | None | $64.57 | $64.57 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | None | $52.48 | $64.57 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $9.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $6.46 |
Premera BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
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 $64.57 Median $64.57 Typical High $91.20 | Facility | None | $64.57 | $64.57 | $91.20 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $79.43 | Professional | None | $26.30 | $26.30 | $79.43 |
United Setting Professional Modifier None Typical Low $10.96 Median $33.88 Typical High $33.88 | Professional | None | $10.96 | $33.88 | $33.88 |
Where Alaska sits
The same service costs 3.3 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· 3rd of 51
$64.57
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.