How much rates vary
Facilitymedian $76 · 10th to 90th $74 to $107Professionalmedian $74 · 10th to 90th $39 to $10,000
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $74.13 | Professional | None | $64.57 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $32.36 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $12.88 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $9.77 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.46 | $7.41 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $91.20 | Professional | None | $34.67 | $34.67 | $91.20 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $75.86 Typical High $107.15 | Facility | None | $74.13 | $75.86 | $107.15 |
Moda Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | None | $74.13 | $74.13 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $7.41 |
Premera BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
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 $75.86 Median $75.86 Typical High $107.15 | Facility | None | $75.86 | $75.86 | $107.15 |
Providence Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $79.43 | Professional | None | $34.67 | $34.67 | $79.43 |
United Setting Professional Modifier None Typical Low $12.88 Median $38.90 Typical High $43.65 | Professional | None | $12.88 | $38.90 | $43.65 |
Where Alaska sits
The same service costs 2.9 times more in Montana than in Nebraska. 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· 4th of 51
$74.13
MT $100NE $34.67
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.