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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $120.23 | Professional | None | $81.28 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $40.74 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $16.22 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $12.30 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $8.13 | $12.02 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $151.36 | Professional | None | $42.66 | $42.66 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $173.78 | Facility | None | $120.23 | $123.03 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $123.03 | Professional | None | $95.50 | $120.23 | $123.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $60.26 | $60.26 | $60.26 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $18.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $12.02 |
Premera BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
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 $123.03 Median $123.03 Typical High $173.78 | Facility | None | $123.03 | $123.03 | $173.78 |
Providence Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $79.43 | Professional | None | $42.66 | $42.66 | $79.43 |
United Setting Professional Modifier None Typical Low $10.96 Median $63.10 Typical High $63.10 | Professional | None | $10.96 | $63.10 | $63.10 |
Where Alaska sits
The same service costs 3.2 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
$120
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.