How much rates vary
Facilitymedian $33 · 10th to 90th $31 to $45Professionalmedian $32 · 10th to 90th $31 to $33
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 $32.36 Median $33.11 Typical High $39.81 | Facility | None | $32.36 | $33.11 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $33.11 | Professional | None | $30.90 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $15.49 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $6.31 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.90 Typical High $5.01 | Professional | 55 · Aftercare only | $4.68 | $4.90 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.24 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.16 | $3.24 | $3.31 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
BCBS Texas Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | None | $24.55 | $28.84 | $28.84 |
Christus Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $33.11 Typical High $44.67 | Facility | None | $30.90 | $33.11 | $44.67 |
Moda Health Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $33.11 | Professional | None | $30.90 | $32.36 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $15.49 | $16.22 | $16.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $6.31 | $6.46 | $6.61 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.90 Typical High $5.01 | Professional | 55 · Aftercare only | $4.68 | $4.90 | $5.01 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.24 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.16 | $3.24 | $3.31 |
Oscar Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $33.11 Typical High $46.77 | Facility | None | $30.90 | $33.11 | $46.77 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Where Texas sits
The same service costs 3.1 times more in Montana than in Mississippi. 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· 23rd of 51
$32.36
MT $79.43MS $25.70
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.