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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $151.36 | Professional | None | $104.71 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $52.48 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $20.89 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $15.49 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.47 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $186.21 | Professional | None | $52.48 | $52.48 | $186.21 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $213.80 | Facility | None | $151.36 | $154.88 | $213.80 |
Moda Health Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $154.88 | Professional | None | $123.03 | $151.36 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $15.14 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
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 $151.36 Median $151.36 Typical High $218.78 | Facility | None | $151.36 | $151.36 | $218.78 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $79.43 | Professional | None | $52.48 | $52.48 | $79.43 |
United Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $79.43 | Professional | None | $51.29 | $79.43 | $79.43 |
Where Alaska sits
The same service costs 3.2 times more in Hawaii than in Arizona. 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· 2nd of 51
$151
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.