How much rates vary
Facilitymedian $91 · 10th to 90th $40 to $162Professionalmedian $43 · 10th to 90th $38 to $50
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 $39.81 Median $57.54 Typical High $83.18 | Facility | None | $39.81 | $57.54 | $83.18 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $19.50 Median $30.20 Typical High $41.69 | Facility | 52 · Reduced service | $19.50 | $30.20 | $41.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $12.02 Typical High $16.60 | Facility | 53 · Discontinued | $7.94 | $12.02 | $16.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.89 Median $9.12 Typical High $12.30 | Facility | 55 · Aftercare only | $5.89 | $9.12 | $12.30 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.03 Typical High $8.32 | Facility | 56 · Pre-op care only | $3.98 | $6.03 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $45.71 | Professional | None | $38.02 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.50 Typical High $22.91 | Professional | 52 · Reduced service | $19.05 | $19.50 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $9.12 | Professional | 53 · Discontinued | $7.76 | $7.94 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.89 Typical High $6.92 | Professional | 55 · Aftercare only | $5.75 | $5.89 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.98 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.80 | $3.98 | $4.57 |
BCBS Texas Setting Facility Modifier None Typical Low $39.81 Median $104.71 Typical High $177.83 | Facility | None | $39.81 | $104.71 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $63.10 Typical High $134.90 | Facility | None | $42.66 | $63.10 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $43.65 Typical High $79.43 | Facility | None | $38.02 | $43.65 | $79.43 |
Moda Health Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | None | $38.02 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $19.05 | $19.50 | $19.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.76 | $7.94 | $7.94 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.89 Typical High $5.89 | Professional | 55 · Aftercare only | $5.75 | $5.89 | $5.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.98 Typical High $3.98 | Professional | 56 · Pre-op care only | $3.80 | $3.98 | $3.98 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $363.08 | Facility | None | $39.81 | $47.86 | $363.08 |
Providence Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Wellpoint Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Where Texas sits
The same service costs 15.1 times more in Alabama than in Montana. 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· 3rd of 51
$50.12
AL $229MT $15.14
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.