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 $102.33 Median $102.33 Typical High $144.54 | Facility | None | $102.33 | $102.33 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $165.96 | Professional | None | $102.33 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $63.10 Typical High $83.18 | Professional | 52 · Reduced service | $51.29 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.70 Typical High $33.11 | Professional | 53 · Discontinued | $20.42 | $25.70 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $19.05 Typical High $25.12 | Professional | 55 · Aftercare only | $15.14 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $12.59 Typical High $16.60 | Professional | 56 · Pre-op care only | $10.23 | $12.59 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Lucent Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,096.48 | $1,348.96 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $154.88 Typical High $194.98 | Facility | None | $102.33 | $154.88 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $165.96 | Professional | None | $102.33 | $125.89 | $165.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $63.10 Typical High $81.28 | Professional | 52 · Reduced service | $51.29 | $63.10 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.70 Typical High $33.11 | Professional | 53 · Discontinued | $20.42 | $25.70 | $33.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $19.05 Typical High $24.55 | Professional | 55 · Aftercare only | $15.14 | $19.05 | $24.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $12.59 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.23 | $12.59 | $16.22 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $128.82 Typical High $144.54 | Professional | None | $20.42 | $128.82 | $144.54 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $234.42 | Facility | None | $102.33 | $162.18 | $234.42 |
Providence Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $275.42 | Professional | None | $141.25 | $186.21 | $275.42 |
Wellpoint Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Where Texas sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 50th of 51
$135
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.