How much rates vary
Facilitymedian $135 · 10th to 90th $41 to $240Professionalmedian $40 · 10th to 90th $26 to $71
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 $40.74 Median $61.66 Typical High $85.11 | Facility | None | $40.74 | $61.66 | $85.11 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $19.95 Median $30.90 Typical High $42.66 | Facility | 52 · Reduced service | $19.95 | $30.90 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $12.30 Typical High $16.98 | Facility | 53 · Discontinued | $8.13 | $12.30 | $16.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.03 Median $9.33 Typical High $12.88 | Facility | 55 · Aftercare only | $6.03 | $9.33 | $12.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.17 Typical High $8.51 | Facility | 56 · Pre-op care only | $4.07 | $6.17 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $41.69 | Professional | None | $39.81 | $40.74 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.95 Typical High $20.89 | Professional | 52 · Reduced service | $19.50 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $8.32 | Professional | 53 · Discontinued | $7.94 | $8.13 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.03 Typical High $6.31 | Professional | 55 · Aftercare only | $5.89 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.07 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.98 | $4.07 | $4.17 |
BCBS Texas Setting Facility Modifier None Typical Low $64.57 Median $165.96 Typical High $251.19 | Facility | None | $64.57 | $165.96 | $251.19 |
BCBS Texas Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $38.90 Typical High $81.28 | Facility | None | $25.70 | $38.90 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $25.70 | Professional | None | $21.88 | $25.70 | $25.70 |
Moda Health Setting Facility Modifier None Typical Low $31.62 Median $56.23 Typical High $81.28 | Facility | None | $31.62 | $56.23 | $81.28 |
Moda Health Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $41.69 | Professional | None | $39.81 | $40.74 | $41.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.95 Typical High $20.89 | Professional | 52 · Reduced service | $19.50 | $19.95 | $20.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $8.32 | Professional | 53 · Discontinued | $7.94 | $8.13 | $8.32 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.03 Typical High $6.31 | Professional | 55 · Aftercare only | $5.89 | $6.03 | $6.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.07 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.98 | $4.07 | $4.17 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $40.74 Typical High $218.78 | Facility | None | $25.70 | $40.74 | $218.78 |
Providence Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $26.92 | Professional | None | $21.88 | $25.70 | $26.92 |
United Setting Professional Modifier None Typical Low $28.84 Median $70.79 Typical High $70.79 | Professional | None | $28.84 | $70.79 | $70.79 |
Wellpoint Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Where Texas sits
The same service costs 3.1 times more in Wisconsin 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· 29th of 51
$40.74
WI $70.79NY $22.91
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.