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 $208.93 Median $223.87 Typical High $288.40 | Facility | None | $208.93 | $223.87 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $223.87 | Professional | None | $208.93 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $104.71 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $44.67 | Professional | 53 · Discontinued | $42.66 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $31.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.88 Typical High $22.39 | Professional | 56 · Pre-op care only | $20.89 | $21.88 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | None | $245.47 | $269.15 | $269.15 |
BCBS Texas Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Christus Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $223.87 Typical High $302.00 | Facility | None | $208.93 | $223.87 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $223.87 | Professional | None | $208.93 | $218.78 | $223.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $104.71 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $44.67 | Professional | 53 · Discontinued | $42.66 | $43.65 | $44.67 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $31.62 | $33.11 | $33.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.88 Typical High $22.39 | Professional | 56 · Pre-op care only | $20.89 | $21.88 | $22.39 |
Oscar Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $223.87 Typical High $316.23 | Facility | None | $208.93 | $223.87 | $316.23 |
Providence Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Wellpoint Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Where Texas sits
The same service costs 6.3 times more in Alaska 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· 25th of 51
$219
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.