How much rates vary
Facilitymedian $11 · 10th to 90th $11 to $52Professionalmedian $11 · 10th to 90th $9 to $98
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 $8.51 Median $10.23 Typical High $11.22 | Facility | None | $8.51 | $10.23 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $12.59 | Professional | None | $8.51 | $10.23 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $5.13 Typical High $5.89 | Professional | 52 · Reduced service | $4.27 | $5.13 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.04 Typical High $2.34 | Professional | 53 · Discontinued | $1.70 | $2.04 | $2.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.51 Typical High $1.78 | Professional | 55 · Aftercare only | $1.29 | $1.51 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $1.02 Typical High $1.17 | Professional | 56 · Pre-op care only | $0.85 | $1.02 | $1.17 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | None | $11.48 | $11.48 | $12.02 |
BCBS Texas Setting Facility Modifier None Typical Low $15.85 Median $36.31 Typical High $64.57 | Facility | None | $15.85 | $36.31 | $64.57 |
BCBS Texas Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $18.62 | Professional | None | $10.00 | $13.18 | $18.62 |
Baylor Scott & White Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $14.45 | Professional | None | $11.48 | $12.88 | $14.45 |
Christus Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $16.22 | Professional | None | $8.91 | $12.02 | $16.22 |
Lucent Health Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $97.72 | Professional | None | $70.79 | $97.72 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $8.51 Median $11.48 Typical High $15.14 | Facility | None | $8.51 | $11.48 | $15.14 |
Moda Health Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $12.59 | Professional | None | $8.51 | $10.23 | $12.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $5.13 Typical High $5.89 | Professional | 52 · Reduced service | $4.27 | $5.13 | $5.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.04 Typical High $2.34 | Professional | 53 · Discontinued | $1.70 | $2.04 | $2.34 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.51 Typical High $1.74 | Professional | 55 · Aftercare only | $1.29 | $1.51 | $1.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $1.02 Typical High $1.17 | Professional | 56 · Pre-op care only | $0.85 | $1.02 | $1.17 |
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 $8.51 Median $12.30 Typical High $15.85 | Facility | None | $8.51 | $12.30 | $15.85 |
Providence Setting Professional Modifier None Typical Low $8.91 Median $12.02 Typical High $16.98 | Professional | None | $8.91 | $12.02 | $16.98 |
United Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $18.20 | Professional | None | $9.12 | $12.30 | $18.20 |
Wellpoint Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Where Texas sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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· 41st of 51
$11.22
AK $25.12KY $9.77
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.