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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $43.65 | Professional | None | $23.44 | $23.44 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $21.88 | Professional | 52 · Reduced service | $11.75 | $11.75 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $8.71 | Professional | 53 · Discontinued | $4.79 | $4.79 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $6.61 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $4.37 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $58.88 | Professional | None | $26.30 | $26.30 | $58.88 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $23.99 Typical High $33.88 | Facility | None | $23.44 | $23.99 | $33.88 |
Moda Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $43.65 | Professional | None | $23.44 | $23.44 | $43.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.75 | $11.75 | $11.75 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.79 | $4.79 | $4.79 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $3.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $2.34 |
Premera BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
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 $23.99 Median $23.99 Typical High $33.88 | Facility | None | $23.99 | $23.99 | $33.88 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $79.43 | Professional | None | $26.30 | $26.30 | $79.43 |
United Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $33.11 | Professional | None | $12.30 | $12.30 | $33.11 |
Where Alaska sits
The same service costs 3.9 times more in Montana than in Alaska. 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· 51st of 51
$23.44
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.