How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $102.33 Median $107.15 Typical High $107.15 | Facility | None | $102.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $114.82 | Professional | None | $100.00 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $52.48 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $19.95 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.49 Typical High $16.98 | Professional | 55 · Aftercare only | $15.14 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.47 Typical High $11.48 | Professional | 56 · Pre-op care only | $10.00 | $10.47 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Lucent Health Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $1,445.44 | Professional | None | $912.01 | $1,445.44 | $1,445.44 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $165.96 | Facility | None | $100.00 | $109.65 | $165.96 |
Moda Health Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $112.20 | Professional | None | $100.00 | $104.71 | $112.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $50.12 | $52.48 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $19.95 | $20.89 | $21.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.49 Typical High $16.22 | Professional | 55 · Aftercare only | $15.14 | $15.49 | $16.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.47 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.00 | $10.47 | $10.96 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $128.82 Typical High $144.54 | Professional | None | $20.42 | $128.82 | $144.54 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $144.54 Typical High $165.96 | Facility | None | $100.00 | $144.54 | $165.96 |
Providence Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $190.55 | Professional | None | $100.00 | $131.83 | $190.55 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Where Texas sits
The same service costs 2.6 times more in North Dakota than in Delaware. 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· 30th of 51
$126
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.