How much rates vary
Facilitymedian $63 · 10th to 90th $44 to $145Professionalmedian $44 · 10th to 90th $43 to $46
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 $43.65 Median $67.61 Typical High $93.33 | Facility | None | $43.65 | $67.61 | $93.33 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $21.88 Median $33.88 Typical High $45.71 | Facility | 52 · Reduced service | $21.88 | $33.88 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.71 Median $13.49 Typical High $18.62 | Facility | 53 · Discontinued | $8.71 | $13.49 | $18.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.61 Median $10.23 Typical High $13.80 | Facility | 55 · Aftercare only | $6.61 | $10.23 | $13.80 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.37 Median $6.76 Typical High $9.33 | Facility | 56 · Pre-op care only | $4.37 | $6.76 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $51.29 | Professional | None | $42.66 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.88 Typical High $25.70 | Professional | 52 · Reduced service | $21.38 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $10.23 | Professional | 53 · Discontinued | $8.51 | $8.71 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.61 Typical High $7.59 | Professional | 55 · Aftercare only | $6.46 | $6.61 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.37 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.27 | $4.37 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $67.61 Typical High $144.54 | Facility | None | $45.71 | $67.61 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $61.66 Typical High $102.33 | Facility | None | $42.66 | $61.66 | $102.33 |
Moda Health Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $43.65 | Professional | None | $42.66 | $43.65 | $43.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.38 | $21.88 | $21.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.51 | $8.71 | $8.71 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $6.46 | $6.61 | $6.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.27 | $4.37 | $4.37 |
Providence Setting Facility Modifier None Typical Low $42.66 Median $63.10 Typical High $389.05 | Facility | None | $42.66 | $63.10 | $389.05 |
Providence Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Wellpoint Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Where Texas sits
The same service costs 17.8 times more in Alabama than in North Dakota. 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· 32nd of 51
$45.71
AL $759ND $42.66
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.