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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $154.88 | Professional | None | $112.20 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $56.23 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $22.39 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $16.98 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $11.22 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $190.55 | Professional | None | $63.10 | $63.10 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $218.78 | Facility | None | $154.88 | $154.88 | $218.78 |
Moda Health Setting Professional Modifier None Typical Low $97.72 Median $154.88 Typical High $154.88 | Professional | None | $97.72 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $15.49 |
Premera BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
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 $154.88 Median $154.88 Typical High $218.78 | Facility | None | $154.88 | $154.88 | $218.78 |
Providence Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $79.43 | Professional | None | $63.10 | $63.10 | $79.43 |
United Setting Professional Modifier None Typical Low $15.14 Median $81.28 Typical High $81.28 | Professional | None | $15.14 | $81.28 | $81.28 |
Where Alaska sits
The same service costs 2.9 times more in Hawaii than in New York. 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
$155
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.