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 $20.89 Median $25.12 Typical High $28.18 | Facility | None | $20.89 | $25.12 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $28.18 | Professional | None | $20.89 | $25.12 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.59 Typical High $13.80 | Professional | 52 · Reduced service | $10.23 | $12.59 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.01 Typical High $5.62 | Professional | 53 · Discontinued | $4.17 | $5.01 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.80 Typical High $4.17 | Professional | 55 · Aftercare only | $3.09 | $3.80 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.51 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.04 | $2.51 | $2.82 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
BCBS Texas Setting Facility Modifier None Typical Low $52.48 Median $165.96 Typical High $165.96 | Facility | None | $52.48 | $165.96 | $165.96 |
BCBS Texas Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $25.12 | Professional | None | $13.49 | $14.45 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $33.88 | Professional | None | $18.62 | $24.55 | $33.88 |
Lucent Health Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $218.78 | Professional | None | $158.49 | $218.78 | $218.78 |
Moda Health Setting Facility Modifier None Typical Low $20.89 Median $25.70 Typical High $36.31 | Facility | None | $20.89 | $25.70 | $36.31 |
Moda Health Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $28.18 | Professional | None | $20.89 | $25.12 | $28.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.59 Typical High $13.80 | Professional | 52 · Reduced service | $10.23 | $12.59 | $13.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.01 Typical High $5.62 | Professional | 53 · Discontinued | $4.17 | $5.01 | $5.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.80 Typical High $4.17 | Professional | 55 · Aftercare only | $3.09 | $3.80 | $4.17 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.51 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.09 | $2.51 | $2.82 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $30.90 | Professional | None | $14.45 | $23.44 | $30.90 |
Providence Setting Facility Modifier None Typical Low $20.89 Median $25.70 Typical High $38.90 | Facility | None | $20.89 | $25.70 | $38.90 |
Providence Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $52.48 | Professional | None | $18.62 | $25.70 | $52.48 |
United Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $39.81 | Professional | None | $19.05 | $26.30 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Where Texas sits
The same service costs 2.8 times more in New York than in Georgia. 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· 47th of 51
$22.39
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.