How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $16.60 Median $16.98 Typical High $16.98 | Facility | None | $16.60 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $21.38 | Professional | None | $15.85 | $16.60 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.32 Typical High $10.47 | Professional | 52 · Reduced service | $7.94 | $8.32 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.31 Typical High $4.27 | Professional | 53 · Discontinued | $3.16 | $3.31 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $2.51 Typical High $3.16 | Professional | 55 · Aftercare only | $2.40 | $2.51 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.66 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.58 | $1.66 | $2.09 |
BCBS Texas Setting Professional Modifier None Typical Low $169.82 Median $794.33 Typical High $794.33 | Professional | None | $169.82 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $128.82 Typical High $204.17 | Facility | None | $42.66 | $128.82 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $26.92 | Professional | None | $18.20 | $21.88 | $26.92 |
Lucent Health Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $380.19 | Professional | None | $204.17 | $213.80 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $14.45 Median $16.98 Typical High $23.99 | Facility | None | $14.45 | $16.98 | $23.99 |
Moda Health Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $16.98 | Professional | None | $15.85 | $16.60 | $16.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $8.32 Typical High $8.51 | Professional | 52 · Reduced service | $7.94 | $8.32 | $8.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.31 Typical High $3.39 | Professional | 53 · Discontinued | $3.16 | $3.31 | $3.39 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $2.51 Typical High $2.57 | Professional | 55 · Aftercare only | $2.40 | $2.51 | $2.57 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.66 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.58 | $1.66 | $1.70 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $141.25 | Facility | None | $14.45 | $23.99 | $141.25 |
Providence Setting Professional Modifier None Typical Low $14.45 Median $50.12 Typical High $50.12 | Professional | None | $14.45 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $181.97 Median $1,348.96 Typical High $2,691.53 | Facility | None | $181.97 | $1,348.96 | $2,691.53 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $24.55 | Professional | None | $12.02 | $16.98 | $24.55 |
Wellpoint Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Where Texas sits
The same service costs 19.1 times more in Indiana than in Delaware. 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.
Texas· 3rd of 51
$191
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.