How much rates vary
Facilitymedian $65 · 10th to 90th $26 to $123Professionalmedian $29 · 10th to 90th $19 to $74
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 $18.62 Median $21.88 Typical High $32.36 | Facility | None | $18.62 | $21.88 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $37.15 | Professional | None | $15.49 | $26.30 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $13.18 Typical High $18.62 | Professional | 52 · Reduced service | $7.76 | $13.18 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $5.25 Typical High $7.41 | Professional | 53 · Discontinued | $3.09 | $5.25 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $3.98 Typical High $5.50 | Professional | 55 · Aftercare only | $2.29 | $3.98 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $2.63 Typical High $3.72 | Professional | 56 · Pre-op care only | $1.55 | $2.63 | $3.72 |
BCBS Texas Setting Facility Modifier None Typical Low $30.90 Median $72.44 Typical High $131.83 | Facility | None | $30.90 | $72.44 | $131.83 |
BCBS Texas Setting Professional Modifier None Typical Low $16.60 Median $28.84 Typical High $39.81 | Professional | None | $16.60 | $28.84 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $38.90 | Professional | None | $21.38 | $34.67 | $38.90 |
Lucent Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $346.74 | Professional | None | $245.47 | $245.47 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $18.62 Median $31.62 Typical High $56.23 | Facility | None | $18.62 | $31.62 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $37.15 | Professional | None | $15.49 | $26.30 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $13.18 Typical High $18.62 | Professional | 52 · Reduced service | $7.76 | $13.18 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $5.25 Typical High $7.41 | Professional | 53 · Discontinued | $3.09 | $5.25 | $7.41 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.34 Median $3.98 Typical High $5.50 | Professional | 55 · Aftercare only | $2.34 | $3.98 | $5.50 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $2.63 Typical High $3.72 | Professional | 56 · Pre-op care only | $1.55 | $2.63 | $3.72 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $30.20 | Professional | None | $21.38 | $23.44 | $30.20 |
Providence Setting Facility Modifier None Typical Low $18.62 Median $31.62 Typical High $53.70 | Facility | None | $18.62 | $31.62 | $53.70 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $38.90 | Professional | None | $21.38 | $33.88 | $38.90 |
United Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $42.66 | Professional | None | $18.20 | $30.20 | $42.66 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $40.74 | Professional | None | $39.81 | $40.74 | $40.74 |
Where Texas sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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· 44th of 51
$28.84
AK $67.61NJ $25.12
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.