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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $269.15 | Professional | None | $199.53 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $100.00 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $39.81 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $29.51 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $19.95 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $331.13 | Professional | None | $109.65 | $109.65 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $269.15 Median $275.42 Typical High $389.05 | Facility | None | $269.15 | $275.42 | $389.05 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $269.15 Typical High $275.42 | Professional | None | $218.78 | $269.15 | $275.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Premera BCBS Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
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 $275.42 Median $275.42 Typical High $389.05 | Facility | None | $275.42 | $275.42 | $389.05 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $109.65 | Professional | None | $79.43 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $151.36 | Professional | None | $107.15 | $141.25 | $151.36 |
Where Alaska sits
The same service costs 2.5 times more in Alaska 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· 1st of 51
$269
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.