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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $31.62 Typical High $31.62 | Professional | None | $16.22 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $8.51 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $3.39 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $2.51 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $1.70 | $3.16 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $39.81 | Professional | None | $9.33 | $9.33 | $39.81 |
Moda Health Setting Facility Modifier None Typical Low $31.62 Median $32.36 Typical High $45.71 | Facility | None | $31.62 | $32.36 | $45.71 |
Moda Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | None | $31.62 | $31.62 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
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 $4.79 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $3.16 |
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 $32.36 Median $32.36 Typical High $45.71 | Facility | None | $32.36 | $32.36 | $45.71 |
Providence Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $79.43 | Professional | None | $9.33 | $9.33 | $79.43 |
United Setting Professional Modifier None Typical Low $9.12 Median $16.60 Typical High $16.60 | Professional | None | $9.12 | $16.60 | $16.60 |
Where Alaska sits
The same service costs 4.2 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
$31.62
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.