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 $0.47 Median $0.49 Typical High $0.49 | Facility | None | $0.47 | $0.49 | $0.49 |
Aetna Setting Professional Modifier None Typical Low $0.42 Median $0.48 Typical High $0.62 | Professional | None | $0.42 | $0.48 | $0.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.09 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.06 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | None | $50.12 | $50.12 | $52.48 |
BCBS Texas Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | None | $0.48 | $0.48 | $0.48 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | None | $0.33 | $0.33 | $0.33 |
Health Smart Setting Professional Modifier None Typical Low $0.30 Median $0.40 Typical High $0.47 | Professional | None | $0.30 | $0.40 | $0.47 |
Lucent Health Setting Professional Modifier None Typical Low $0.30 Median $0.40 Typical High $0.47 | Professional | None | $0.30 | $0.40 | $0.47 |
Moda Health Setting Facility Modifier None Typical Low $0.46 Median $0.49 Typical High $2.19 | Facility | None | $0.46 | $0.49 | $2.19 |
Moda Health Setting Professional Modifier None Typical Low $0.37 Median $0.48 Typical High $0.62 | Professional | None | $0.37 | $0.48 | $0.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.09 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.06 |
Molina Setting Professional Modifier None Typical Low $1.05 Median $1.05 Typical High $81.28 | Professional | None | $1.05 | $1.05 | $81.28 |
Providence Setting Facility Modifier None Typical Low $0.42 Median $0.49 Typical High $2.29 | Facility | None | $0.42 | $0.49 | $2.29 |
Providence Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | None | $0.33 | $0.33 | $0.33 |
United Setting Professional Modifier None Typical Low $0.37 Median $0.66 Typical High $0.98 | Professional | None | $0.37 | $0.66 | $0.98 |
Wellpoint Setting Professional Modifier None Typical Low $0.41 Median $0.41 Typical High $0.48 | Professional | None | $0.41 | $0.41 | $0.48 |
Where Texas sits
The same service costs 3.0 times more in Florida than in Alabama. 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· 7th of 51
$0.71
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.