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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $100.00 | Professional | None | $67.61 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $33.88 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $13.49 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $10.00 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $6.76 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $123.03 | Professional | None | $38.02 | $38.02 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $102.33 Typical High $144.54 | Facility | None | $100.00 | $102.33 | $144.54 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $102.33 | Professional | None | $79.43 | $100.00 | $102.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $15.14 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $10.00 |
Premera BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
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 $100.00 Median $100.00 Typical High $144.54 | Facility | None | $100.00 | $100.00 | $144.54 |
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 $36.31 Median $52.48 Typical High $52.48 | Professional | None | $36.31 | $52.48 | $52.48 |
Where Alaska sits
The same service costs 3.0 times more in Hawaii than in Indiana. 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
$100
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.