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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $91.20 | Professional | None | $63.10 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $31.62 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $12.59 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $9.33 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $6.31 | $9.12 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $112.20 | Professional | None | $35.48 | $35.48 | $112.20 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $131.83 | Facility | None | $91.20 | $93.33 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $93.33 | Professional | None | $75.86 | $91.20 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $9.12 |
Premera BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
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 $91.20 Median $91.20 Typical High $131.83 | Facility | None | $91.20 | $91.20 | $131.83 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $79.43 | Professional | None | $35.48 | $35.48 | $79.43 |
United Setting Professional Modifier None Typical Low $12.88 Median $47.86 Typical High $47.86 | Professional | None | $12.88 | $47.86 | $47.86 |
Where Alaska sits
The same service costs 2.9 times more in Hawaii 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
$91.20
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.