How much rates vary
Facilitymedian $224 · 10th to 90th $126 to $263Professionalmedian $162 · 10th to 90th $30 to $229
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 $112.20 Median $112.20 Typical High $158.49 | Facility | None | $112.20 | $112.20 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $181.97 | Professional | None | $112.20 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $70.79 Typical High $91.20 | Professional | 52 · Reduced service | $56.23 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $36.31 | Professional | 53 · Discontinued | $22.39 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $20.89 Typical High $27.54 | Professional | 55 · Aftercare only | $16.60 | $20.89 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $14.13 Typical High $18.20 | Professional | 56 · Pre-op care only | $11.22 | $14.13 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $223.87 Typical High $245.47 | Facility | None | $125.89 | $223.87 | $245.47 |
Moda Health Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $186.21 | Professional | None | $112.20 | $141.25 | $186.21 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $70.79 Typical High $93.33 | Professional | 52 · Reduced service | $56.23 | $70.79 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $37.15 | Professional | 53 · Discontinued | $22.39 | $28.18 | $37.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $21.38 Typical High $28.18 | Professional | 55 · Aftercare only | $16.60 | $21.38 | $28.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $14.13 Typical High $18.62 | Professional | 56 · Pre-op care only | $11.22 | $14.13 | $18.62 |
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 $138.04 Median $223.87 Typical High $269.15 | Facility | None | $138.04 | $223.87 | $269.15 |
Providence Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $309.03 | Professional | None | $162.18 | $194.98 | $309.03 |
Wellpoint Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Where Texas sits
The same service costs 6.6 times more in Alabama than in New York. 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
$174
AL $437NY $66.07
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.