How much rates vary
Facilitymedian $16 · 10th to 90th $16 to $16Professionalmedian $7 · 10th to 90th $7 to $13
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 Professional Modifier None Typical Low $6.61 Median $7.24 Typical High $7.24 | Professional | None | $6.61 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $3.31 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.32 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.10 Typical High $1.10 | Professional | 55 · Aftercare only | $1.00 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.66 Median $0.72 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.66 | $0.72 | $0.72 |
BCBS Texas Setting Facility Modifier None Typical Low $21.88 Median $67.61 Typical High $67.61 | Facility | None | $21.88 | $67.61 | $67.61 |
Christus Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $162.18 | Professional | None | $100.00 | $123.03 | $162.18 |
Lucent Health Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $37.15 | Professional | None | $6.61 | $6.61 | $37.15 |
Moda Health Setting Professional Modifier None Typical Low $6.61 Median $7.24 Typical High $15.49 | Professional | None | $6.61 | $7.24 | $15.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $3.31 | $3.63 | $3.63 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.32 | $1.45 | $1.45 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.10 Typical High $1.10 | Professional | 55 · Aftercare only | $1.00 | $1.10 | $1.10 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.66 Median $0.72 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.66 | $0.72 | $0.72 |
Providence Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Providence Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $79.43 | Professional | None | $5.01 | $5.01 | $79.43 |
Where Texas sits
The same service costs 125892.5 times more in Massachusetts than in New York. 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· 19th of 51
$15.85
MA $2,512NY $0.02
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.