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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | None | $69.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $33.88 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $10.23 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.51 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.92 | $8.51 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $107.15 | Professional | None | $38.02 | $38.02 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $87.10 Typical High $123.03 | Facility | None | $85.11 | $87.10 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $87.10 | Professional | None | $75.86 | $85.11 | $87.10 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $12.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $8.51 |
Premera BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
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 $87.10 Median $87.10 Typical High $123.03 | Facility | None | $87.10 | $87.10 | $123.03 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $79.43 | Professional | None | $38.02 | $38.02 | $79.43 |
United Setting Professional Modifier None Typical Low $12.88 Median $44.67 Typical High $48.98 | Professional | None | $12.88 | $44.67 | $48.98 |
Where Alaska sits
The same service costs 2.6 times more in Montana than in Ohio. 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
$85.11
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.