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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $117.49 | Professional | None | $85.11 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $42.66 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $17.38 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $12.88 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $8.71 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $147.91 | Professional | None | $43.65 | $43.65 | $147.91 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $120.23 Typical High $169.82 | Facility | None | $117.49 | $120.23 | $169.82 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $120.23 | Professional | None | $102.33 | $117.49 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.99 | $23.99 | $23.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $17.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $11.75 |
Premera BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
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 $120.23 Median $120.23 Typical High $169.82 | Facility | None | $120.23 | $120.23 | $169.82 |
Providence Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $79.43 | Professional | None | $43.65 | $43.65 | $79.43 |
United Setting Professional Modifier None Typical Low $10.96 Median $61.66 Typical High $61.66 | Professional | None | $10.96 | $61.66 | $61.66 |
Where Alaska sits
The same service costs 3.5 times more in Hawaii 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
$117
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.