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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $181.97 | Professional | None | $128.82 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $64.57 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $26.30 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $19.50 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $12.88 | $18.20 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $229.09 | Professional | None | $72.44 | $72.44 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $186.21 Typical High $263.03 | Facility | None | $181.97 | $186.21 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $186.21 | Professional | None | $144.54 | $181.97 | $186.21 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Premera BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
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 $186.21 Median $186.21 Typical High $263.03 | Facility | None | $186.21 | $186.21 | $263.03 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | None | $72.44 | $72.44 | $79.43 |
United Setting Professional Modifier None Typical Low $70.79 Median $95.50 Typical High $95.50 | Professional | None | $70.79 | $95.50 | $95.50 |
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· 2nd of 51
$182
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.