How much rates vary
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 $1.45 Median $1.58 Typical High $1.78 | Facility | None | $1.45 | $1.58 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $1.38 Median $1.58 Typical High $1.78 | Professional | None | $1.38 | $1.58 | $1.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.24 Typical High $0.27 | Professional | 55 · Aftercare only | $0.21 | $0.24 | $0.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.16 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.14 | $0.16 | $0.18 |
Ambetter Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
BCBS Texas Setting Professional Modifier None Typical Low $0.74 Median $0.74 Typical High $0.74 | Professional | None | $0.74 | $0.74 | $0.74 |
Cigna Setting Professional Modifier None Typical Low $0.87 Median $1.70 Typical High $1.70 | Professional | None | $0.87 | $1.70 | $1.70 |
Lucent Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $18.20 | Professional | None | $17.38 | $17.38 | $18.20 |
Moda Health Setting Facility Modifier None Typical Low $1.58 Median $2.29 Typical High $3.55 | Facility | None | $1.58 | $2.29 | $3.55 |
Moda Health Setting Professional Modifier None Typical Low $1.38 Median $1.58 Typical High $1.78 | Professional | None | $1.38 | $1.58 | $1.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.24 Typical High $0.27 | Professional | 55 · Aftercare only | $0.21 | $0.24 | $0.27 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.16 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.14 | $0.16 | $0.18 |
Molina Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $30.20 | Professional | None | $4.90 | $4.90 | $30.20 |
Providence Setting Facility Modifier None Typical Low $1.58 Median $2.29 Typical High $3.31 | Facility | None | $1.58 | $2.29 | $3.31 |
Providence Setting Professional Modifier None Typical Low $0.87 Median $1.70 Typical High $1.70 | Professional | None | $0.87 | $1.70 | $1.70 |
United Setting Professional Modifier None Typical Low $1.10 Median $1.29 Typical High $2.29 | Professional | None | $1.10 | $1.29 | $2.29 |
Wellpoint Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Where Texas sits
The same service costs 6.6 times more in Kentucky than in West Virginia. 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· 34th of 51
$1.70
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.