How much rates vary
Facilitymedian $74 · 10th to 90th $72 to $105Professionalmedian $72 · 10th to 90th $38 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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $72.44 | Professional | None | $66.07 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $33.11 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $13.18 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $10.00 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.61 | $7.24 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $83.18 | Professional | None | $33.88 | $33.88 | $83.18 |
Moda Health Setting Facility Modifier None Typical Low $72.44 Median $74.13 Typical High $102.33 | Facility | None | $72.44 | $74.13 | $102.33 |
Moda Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | None | $72.44 | $72.44 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $7.24 |
Premera BCBS Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
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 $72.44 Median $72.44 Typical High $104.71 | Facility | None | $72.44 | $72.44 | $104.71 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $79.43 | Professional | None | $33.88 | $33.88 | $79.43 |
United Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $43.65 | Professional | None | $19.05 | $38.02 | $43.65 |
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· 3rd of 51
$72.44
MT $100NY $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.