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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $93.33 | Professional | None | $74.13 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $14.79 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $10.96 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.41 | $9.33 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $114.82 | Professional | None | $38.02 | $38.02 | $114.82 |
Moda Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $131.83 | Facility | None | $93.33 | $93.33 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $97.72 | Professional | None | $87.10 | $93.33 | $97.72 |
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 $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
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 $9.33 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $9.33 |
Premera BCBS Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
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 $93.33 Median $93.33 Typical High $131.83 | Facility | None | $93.33 | $93.33 | $131.83 |
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 $15.14 Median $47.86 Typical High $47.86 | Professional | None | $15.14 | $47.86 | $47.86 |
Where Alaska sits
The same service costs 2.7 times more in Hawaii than in Utah. 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
$93.33
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.