How much rates vary
Facilitymedian $5 · 10th to 90th $3 to $13Professionalmedian $2 · 10th to 90th $2 to $36
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 $3.09 Median $3.09 Typical High $3.39 | Facility | None | $3.09 | $3.09 | $3.39 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $3.16 Typical High $3.98 | Professional | None | $2.88 | $3.16 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.58 Typical High $2.00 | Professional | 52 · Reduced service | $1.45 | $1.58 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.63 Typical High $0.79 | Professional | 53 · Discontinued | $0.58 | $0.63 | $0.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.47 Typical High $0.60 | Professional | 55 · Aftercare only | $0.43 | $0.47 | $0.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.31 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.28 | $0.31 | $0.40 |
BCBS Texas Setting Facility Modifier None Typical Low $3.80 Median $5.75 Typical High $13.49 | Facility | None | $3.80 | $5.75 | $13.49 |
BCBS Texas Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Lucent Health Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $36.31 | Professional | None | $23.99 | $36.31 | $36.31 |
Moda Health Setting Facility Modifier None Typical Low $3.09 Median $4.47 Typical High $4.90 | Facility | None | $3.09 | $4.47 | $4.90 |
Moda Health Setting Professional Modifier None Typical Low $2.88 Median $3.16 Typical High $4.17 | Professional | None | $2.88 | $3.16 | $4.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.58 Typical High $1.91 | Professional | 52 · Reduced service | $1.45 | $1.58 | $1.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.63 Typical High $0.76 | Professional | 53 · Discontinued | $0.58 | $0.63 | $0.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.47 Typical High $0.58 | Professional | 55 · Aftercare only | $0.43 | $0.47 | $0.58 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.29 Median $0.31 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.29 | $0.31 | $0.38 |
Molina Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.72 | Professional | None | $3.24 | $3.24 | $3.72 |
Providence Setting Facility Modifier None Typical Low $3.16 Median $4.90 Typical High $5.01 | Facility | None | $3.16 | $4.90 | $5.01 |
Providence Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.19 Typical High $2.88 | Professional | None | $1.70 | $2.19 | $2.88 |
Wellpoint Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Where Texas sits
The same service costs 2.6 times more in Hawaii than in Maine. 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· 23rd of 51
$2.88
HI $5.13ME $2.00
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.