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 $575.44 Median $2,238.72 Typical High $6,918.31 | Facility | None | $575.44 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $125.89 Typical High $125.89 | Professional | None | $45.71 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $22.91 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $9.12 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $95.50 Typical High $95.50 | Professional | 54 · Surgery only | $34.67 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $6.92 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.57 | $12.59 | $12.59 |
BCBS Texas Setting Facility Modifier None Typical Low $4,073.80 Median $8,709.64 Typical High $8,709.64 | Facility | None | $4,073.80 | $8,709.64 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,995.26 Typical High $2,691.53 | Facility | None | $524.81 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Lucent Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $1,949.84 Typical High $6,025.60 | Facility | None | $125.89 | $1,949.84 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $45.71 Median $125.89 Typical High $125.89 | Professional | None | $45.71 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $22.91 | $63.10 | $63.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $9.12 | $25.70 | $25.70 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $95.50 Typical High $95.50 | Professional | 54 · Surgery only | $34.67 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $6.92 | $19.05 | $19.05 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.57 | $12.59 | $12.59 |
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 $66.07 Median $1,258.93 Typical High $2,691.53 | Facility | None | $66.07 | $1,258.93 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $141.25 Median $741.31 Typical High $2,187.76 | Facility | None | $141.25 | $741.31 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Where Texas sits
The same service costs 16.6 times more in California than in Texas. 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· 51st of 51
$50.12
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.