How much rates vary
Facilitymedian $27 · 10th to 90th $20 to $69Professionalmedian $21 · 10th to 90th $20 to $21
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 $19.95 Median $20.89 Typical High $47.86 | Facility | None | $19.95 | $20.89 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $20.89 | Professional | None | $19.95 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $10.00 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $4.07 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.14 Median $15.49 Typical High $15.49 | Professional | 54 · Surgery only | $15.14 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $3.02 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $2.04 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $32.36 Typical High $69.18 | Facility | None | $21.38 | $32.36 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Moda Health Setting Facility Modifier None Typical Low $19.95 Median $28.84 Typical High $47.86 | Facility | None | $19.95 | $28.84 | $47.86 |
Moda Health Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $20.89 | Professional | None | $19.95 | $20.89 | $20.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $10.00 | $10.23 | $10.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $4.07 | $4.17 | $4.17 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $15.14 Median $15.49 Typical High $15.49 | Professional | 54 · Surgery only | $15.14 | $15.49 | $15.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $3.02 | $3.09 | $3.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.09 Typical High $2.09 | Professional | 56 · Pre-op care only | $2.04 | $2.09 | $2.09 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Providence Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $181.97 | Facility | None | $19.95 | $29.51 | $181.97 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Wellpoint Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Where Texas sits
The same service costs 39.8 times more in Alabama than in Georgia. 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· 46th of 51
$20.89
AL $759GA $19.05
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.