How much rates vary
Facilitymedian $110 · 10th to 90th $39 to $204Professionalmedian $0 · 10th to 90th $0 to $6,026
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 $0.26 Median $0.31 Typical High $0.36 | Facility | None | $0.26 | $0.31 | $0.36 |
Aetna Setting Professional Modifier None Typical Low $0.26 Median $0.31 Typical High $0.40 | Professional | None | $0.26 | $0.31 | $0.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.13 Median $0.16 Typical High $0.20 | Professional | 52 · Reduced service | $0.13 | $0.16 | $0.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.05 Median $0.06 Typical High $0.08 | Professional | 53 · Discontinued | $0.05 | $0.06 | $0.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.05 Typical High $0.06 | Professional | 55 · Aftercare only | $0.04 | $0.05 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.04 |
BCBS Texas Setting Facility Modifier None Typical Low $47.86 Median $109.65 Typical High $204.17 | Facility | None | $47.86 | $109.65 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $23.99 Typical High $46.77 | Facility | None | $16.22 | $23.99 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.33 Typical High $0.47 | Professional | None | $0.26 | $0.33 | $0.47 |
Lucent Health Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | None | $6,025.60 | $6,025.60 | $6,025.60 |
Moda Health Setting Facility Modifier None Typical Low $0.26 Median $0.37 Typical High $218.78 | Facility | None | $0.26 | $0.37 | $218.78 |
Moda Health Setting Professional Modifier None Typical Low $0.26 Median $0.31 Typical High $0.40 | Professional | None | $0.26 | $0.31 | $0.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.13 Median $0.16 Typical High $0.20 | Professional | 52 · Reduced service | $0.13 | $0.16 | $0.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.05 Median $0.06 Typical High $0.08 | Professional | 53 · Discontinued | $0.05 | $0.06 | $0.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.05 Typical High $0.06 | Professional | 55 · Aftercare only | $0.04 | $0.05 | $0.06 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.04 |
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 $0.31 Median $0.44 Typical High $23.99 | Facility | None | $0.31 | $0.44 | $23.99 |
Providence Setting Professional Modifier None Typical Low $0.26 Median $0.33 Typical High $0.47 | Professional | None | $0.26 | $0.33 | $0.47 |
United Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $97.72 | Facility | None | $70.79 | $74.13 | $97.72 |
United Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Where Texas sits
The same service costs 645.7 times more in Oklahoma than in Florida. 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· 35th of 51
$0.38
OK $166FL $0.26
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.