How much rates vary
Facilitymedian $174 · 10th to 90th $162 to $234Professionalmedian $170 · 10th to 90th $162 to $174
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 $169.82 Median $173.78 Typical High $229.09 | Facility | None | $169.82 | $173.78 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $173.78 | Professional | None | $162.18 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $85.11 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $34.67 | Professional | 53 · Discontinued | $32.36 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $24.55 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.98 Typical High $17.38 | Professional | 56 · Pre-op care only | $16.22 | $16.98 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
BCBS Texas Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | None | $46.77 | $54.95 | $54.95 |
Christus Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $173.78 Typical High $234.42 | Facility | None | $162.18 | $173.78 | $234.42 |
Moda Health Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $173.78 | Professional | None | $162.18 | $169.82 | $173.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $85.11 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $85.11 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $34.67 | Professional | 53 · Discontinued | $32.36 | $33.88 | $34.67 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $24.55 | $25.70 | $25.70 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.98 Typical High $17.38 | Professional | 56 · Pre-op care only | $16.22 | $16.98 | $17.38 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $173.78 Typical High $245.47 | Facility | None | $162.18 | $173.78 | $245.47 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
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 5.2 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· 29th of 51
$170
AK $282NY $53.70
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.