How much rates vary
Facilitymedian $79 · 10th to 90th $78 to $112Professionalmedian $78 · 10th to 90th $41 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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $77.62 | Professional | None | $69.18 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $34.67 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $13.80 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $10.23 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.92 | $7.76 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $95.50 | Professional | None | $37.15 | $37.15 | $95.50 |
Moda Health Setting Facility Modifier None Typical Low $77.62 Median $79.43 Typical High $112.20 | Facility | None | $77.62 | $79.43 | $112.20 |
Moda Health Setting Professional Modifier None Typical Low $75.86 Median $77.62 Typical High $79.43 | Professional | None | $75.86 | $77.62 | $79.43 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $38.90 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $15.49 | $15.49 | $15.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $11.75 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $7.76 |
Premera BCBS Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
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 $79.43 Median $79.43 Typical High $112.20 | Facility | None | $79.43 | $79.43 | $112.20 |
Providence Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $79.43 | Professional | None | $37.15 | $37.15 | $79.43 |
United Setting Professional Modifier None Typical Low $12.88 Median $40.74 Typical High $46.77 | Professional | None | $12.88 | $40.74 | $46.77 |
Where Alaska sits
The same service costs 2.6 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· 6th of 51
$77.62
MT $95.50IN $37.15
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.