How much rates vary
Facilitymedian $182 · 10th to 90th $81 to $316Professionalmedian $81 · 10th to 90th $79 to $85
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 $83.18 Median $89.13 Typical High $194.98 | Facility | None | $83.18 | $89.13 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $87.10 | Professional | None | $83.18 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $42.66 Typical High $43.65 | Professional | 52 · Reduced service | $41.69 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $16.98 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $12.88 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.51 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.32 | $8.51 | $8.71 |
BCBS Texas Setting Facility Modifier None Typical Low $81.28 Median $194.98 Typical High $323.59 | Facility | None | $81.28 | $194.98 | $323.59 |
BCBS Texas Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $162.18 Typical High $269.15 | Facility | None | $83.18 | $162.18 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Moda Health Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $194.98 | Facility | None | $81.28 | $97.72 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | None | $81.28 | $81.28 | $85.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 52 · Reduced service | $40.74 | $40.74 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.60 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $12.59 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $8.32 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $8.32 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $120.23 Typical High $724.44 | Facility | None | $83.18 | $120.23 | $724.44 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Wellpoint Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Where Texas sits
The same service costs 1.5 times more in Arizona than in Nebraska. 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· 12th of 51
$89.13
AZ $126NE $81.28
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.