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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $32.36 | Professional | None | $22.39 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $10.96 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $4.47 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $3.31 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $2.24 | $3.24 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $40.74 | Professional | None | $12.30 | $12.30 | $40.74 |
Moda Health Setting Facility Modifier None Typical Low $32.36 Median $33.11 Typical High $46.77 | Facility | None | $32.36 | $33.11 | $46.77 |
Moda Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | None | $32.36 | $32.36 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Premera BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
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 $33.11 Median $33.11 Typical High $46.77 | Facility | None | $33.11 | $33.11 | $46.77 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $79.43 | Professional | None | $12.30 | $12.30 | $79.43 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $16.98 | Professional | None | $12.02 | $16.98 | $16.98 |
Where Alaska sits
The same service costs 3.5 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
$32.36
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.