How much rates vary
Facilitymedian $14 · 10th to 90th $13 to $19Professionalmedian $13 · 10th to 90th $10 to $10,000
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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $14.79 | Professional | None | $13.49 | $13.49 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $7.08 | Professional | 52 · Reduced service | $6.76 | $6.76 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.82 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.14 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.35 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.35 | $1.35 | $1.41 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $21.88 | Professional | None | $9.77 | $9.77 | $21.88 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $13.80 Typical High $19.50 | Facility | None | $13.49 | $13.80 | $19.50 |
Moda Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $15.14 | Professional | None | $13.49 | $13.49 | $15.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $6.76 | $6.76 | $6.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.69 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | 56 · Pre-op care only | $1.35 | $1.35 | $1.35 |
Premera BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
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 $13.49 Median $13.49 Typical High $19.50 | Facility | None | $13.49 | $13.49 | $19.50 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $79.43 | Professional | None | $9.77 | $9.77 | $79.43 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $10.72 | Professional | None | $6.03 | $7.08 | $10.72 |
Where Alaska sits
The same service costs 3.2 times more in Montana 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· 36th of 51
$13.49
MT $26.92NY $8.32
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.