How much rates vary
Facilitymedian $38 · 10th to 90th $25 to $55Professionalmedian $36 · 10th to 90th $25 to $38
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 $37.15 Median $38.02 Typical High $38.02 | Facility | None | $37.15 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $38.02 | Professional | None | $30.90 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $18.62 Typical High $19.05 | Professional | 52 · Reduced service | $17.78 | $18.62 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.41 Typical High $7.76 | Professional | 53 · Discontinued | $7.08 | $7.41 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.50 Typical High $5.75 | Professional | 55 · Aftercare only | $5.25 | $5.50 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.72 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.55 | $3.72 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $25.12 Typical High $25.12 | Facility | None | $24.55 | $25.12 | $25.12 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $38.02 Typical High $54.95 | Facility | None | $30.90 | $38.02 | $54.95 |
Moda Health Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $38.02 | Professional | None | $30.90 | $37.15 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | 52 · Reduced service | $18.62 | $18.62 | $19.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.76 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.50 Typical High $5.75 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $5.75 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $3.80 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $3.80 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $37.15 Typical High $54.95 | Facility | None | $25.12 | $37.15 | $54.95 |
United Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $28.84 | Professional | None | $22.91 | $27.54 | $28.84 |
Wellpoint Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Where Texas sits
The same service costs 2.2 times more in Oregon than in Rhode Island. 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· 11th of 51
$36.31
OR $54.95RI $24.55
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.