How much rates vary
Facilitymedian $83 · 10th to 90th $81 to $117Professionalmedian $81 · 10th to 90th $43 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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | None | $74.13 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $37.15 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $15.14 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $11.22 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.41 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $93.33 | Professional | None | $38.02 | $38.02 | $93.33 |
Moda Health Setting Facility Modifier None Typical Low $81.28 Median $83.18 Typical High $117.49 | Facility | None | $81.28 | $83.18 | $117.49 |
Moda Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | None | $81.28 | $81.28 | $83.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $12.30 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $8.13 |
Premera BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
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 $81.28 Median $81.28 Typical High $117.49 | Facility | None | $81.28 | $81.28 | $117.49 |
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 $19.05 Median $42.66 Typical High $46.77 | Professional | None | $19.05 | $42.66 | $46.77 |
Where Alaska sits
The same service costs 2.8 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· 4th of 51
$81.28
MT $100NY $35.48
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.