How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $2
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 $1.20 Median $1.78 Typical High $1.78 | Professional | None | $1.20 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.27 Typical High $0.27 | Professional | 55 · Aftercare only | $0.25 | $0.27 | $0.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.17 | $0.18 | $0.18 |
Ambetter Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | None | $1.15 | $1.15 | $1.15 |
BCBS Alabama Setting Professional Modifier 12 + 21 + 22 · Increased work + 31 + 32 · Mandated service + 41 + 52 · Reduced service + 93 · Audio-only telehealth Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 12 + 21 + 22 · Increased work + 31 + 32 · Mandated service + 41 + 52 · Reduced service + 93 · Audio-only telehealth | $1.66 | $1.66 | $1.66 |
Cigna Setting Facility Modifier None Typical Low $1.15 Median $1.35 Typical High $1.35 | Facility | None | $1.15 | $1.35 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.35 | Professional | None | $1.12 | $1.12 | $1.35 |
United Setting Professional Modifier None Typical Low $0.63 Median $1.02 Typical High $1.35 | Professional | None | $0.63 | $1.02 | $1.35 |
Where Alabama sits
The same service costs 5.8 times more in Hawaii than in Rhode Island. 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.
Alabama· 47th of 51
$1.12
HI $5.75RI $1.00
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.