How much rates vary
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 $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 52 · Reduced service | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 53 · Discontinued | $1.15 | $1.15 | $1.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | 55 · Aftercare only | $0.87 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $0.58 Typical High $0.58 | Professional | 56 · Pre-op care only | $0.58 | $0.58 | $0.58 |
BCBS Texas Setting Facility Modifier None Typical Low $812.83 Median $1,862.09 Typical High $3,388.44 | Facility | None | $812.83 | $1,862.09 | $3,388.44 |
BCBS Texas Setting Professional Modifier None Typical Low $8.32 Median $9.77 Typical High $9.77 | Professional | None | $8.32 | $9.77 | $9.77 |
Christus Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $1,479.11 | Facility | None | $416.87 | $691.83 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $8.32 Median $1,995.26 Typical High $2,511.89 | Facility | None | $8.32 | $1,995.26 | $2,511.89 |
Moda Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 52 · Reduced service | $2.88 | $2.88 | $2.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 53 · Discontinued | $1.15 | $1.15 | $1.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | 55 · Aftercare only | $0.87 | $0.87 | $0.87 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $0.58 Typical High $0.58 | Professional | 56 · Pre-op care only | $0.58 | $0.58 | $0.58 |
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 $5.75 Median $8.32 Typical High $691.83 | Facility | None | $5.75 | $8.32 | $691.83 |
Providence Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,412.54 | Facility | None | $1,047.13 | $1,071.52 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Where Texas sits
The same service costs 190.5 times more in North Carolina 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· 21st of 51
$617
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.