How much rates vary
Facilitymedian $21 · 10th to 90th $10 to $191Professionalmedian $126 · 10th to 90th $85 to $7,079
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 $83.18 Median $83.18 Typical High $95.50 | Facility | None | $83.18 | $83.18 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $107.15 | Professional | None | $74.13 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $42.66 Typical High $52.48 | Professional | 52 · Reduced service | $37.15 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $21.38 | Professional | 53 · Discontinued | $14.79 | $16.98 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.88 Typical High $15.85 | Professional | 55 · Aftercare only | $11.22 | $12.88 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.51 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.41 | $8.51 | $10.72 |
BCBS Texas Setting Facility Modifier None Typical Low $9.55 Median $14.79 Typical High $32.36 | Facility | None | $9.55 | $14.79 | $32.36 |
Christus Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $245.47 Typical High $407.38 | Facility | None | $125.89 | $245.47 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Lucent Health Setting Professional Modifier None Typical Low $6,025.60 Median $7,079.46 Typical High $7,079.46 | Professional | None | $6,025.60 | $7,079.46 | $7,079.46 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $120.23 Typical High $141.25 | Facility | None | $83.18 | $120.23 | $141.25 |
Moda Health Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $112.20 | Professional | None | $74.13 | $85.11 | $112.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $42.66 Typical High $51.29 | Professional | 52 · Reduced service | $37.15 | $42.66 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $20.42 | Professional | 53 · Discontinued | $14.79 | $16.98 | $20.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.88 Typical High $15.49 | Professional | 55 · Aftercare only | $11.22 | $12.88 | $15.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.51 Typical High $10.23 | Professional | 56 · Pre-op care only | $7.41 | $8.51 | $10.23 |
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 $117.49 Median $144.54 Typical High $1,096.48 | Facility | None | $117.49 | $144.54 | $1,096.48 |
Providence Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Where Texas sits
The same service costs 26.9 times more in Kansas 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· 17th of 51
$126
KS $1,445NY $53.70
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.