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 $44.67 Median $45.71 Typical High $45.71 | Facility | None | $44.67 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $48.98 | Professional | None | $42.66 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $22.39 Typical High $24.55 | Professional | 52 · Reduced service | $21.38 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.91 Typical High $9.77 | Professional | 53 · Discontinued | $8.51 | $8.91 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.76 Typical High $7.41 | Professional | 55 · Aftercare only | $6.46 | $6.76 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.47 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.27 | $4.47 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Lucent Health Setting Professional Modifier None Typical Low $446.68 Median $724.44 Typical High $724.44 | Professional | None | $446.68 | $724.44 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $45.71 Typical High $81.28 | Facility | None | $42.66 | $45.71 | $81.28 |
Moda Health Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $46.77 | Professional | None | $42.66 | $44.67 | $46.77 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $22.39 Typical High $22.91 | Professional | 52 · Reduced service | $21.38 | $22.39 | $22.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.91 Typical High $9.12 | Professional | 53 · Discontinued | $8.51 | $8.91 | $9.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.76 Typical High $6.92 | Professional | 55 · Aftercare only | $6.46 | $6.76 | $6.92 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.47 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.27 | $4.47 | $4.57 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $63.10 Typical High $72.44 | Professional | None | $10.23 | $63.10 | $72.44 |
Providence Setting Facility Modifier None Typical Low $42.66 Median $61.66 Typical High $81.28 | Facility | None | $42.66 | $61.66 | $81.28 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $77.62 | Professional | None | $38.90 | $53.70 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Where Texas sits
The same service costs 3.0 times more in North Dakota 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· 18th of 51
$61.66
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.