How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $57.54 Median $63.10 Typical High $63.10 | Facility | None | $57.54 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $70.79 | Professional | None | $53.70 | $58.88 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $43.65 Typical High $52.48 | Professional | 54 · Surgery only | $40.74 | $43.65 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.71 Typical High $10.47 | Professional | 55 · Aftercare only | $8.13 | $8.71 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.89 Typical High $7.08 | Professional | 56 · Pre-op care only | $5.37 | $5.89 | $7.08 |
Lucent Health Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $660.69 | Professional | None | $645.65 | $660.69 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $63.10 Typical High $97.72 | Facility | None | $54.95 | $63.10 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $70.79 | Professional | None | $53.70 | $61.66 | $70.79 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $46.77 Typical High $52.48 | Professional | 54 · Surgery only | $40.74 | $46.77 | $52.48 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.33 Typical High $10.47 | Professional | 55 · Aftercare only | $8.13 | $9.33 | $10.47 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.17 Typical High $7.08 | Professional | 56 · Pre-op care only | $5.37 | $6.17 | $7.08 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $77.62 Typical High $100.00 | Facility | None | $53.70 | $77.62 | $100.00 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $117.49 | Professional | None | $60.26 | $79.43 | $117.49 |
United Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $162.18 | Professional | None | $100.00 | $114.82 | $162.18 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Where Texas sits
The same service costs 123.0 times more in Alabama than in New Jersey. 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· 2nd of 51
$646
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.