How much rates vary
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 $3.55 Median $5.62 Typical High $7.59 | Facility | None | $3.55 | $5.62 | $7.59 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.78 Median $2.82 Typical High $3.80 | Facility | 52 · Reduced service | $1.78 | $2.82 | $3.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.71 Median $1.12 Typical High $1.51 | Facility | 53 · Discontinued | $0.71 | $1.12 | $1.51 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.52 Median $0.83 Typical High $1.15 | Facility | 55 · Aftercare only | $0.52 | $0.83 | $1.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.56 Typical High $0.76 | Facility | 56 · Pre-op care only | $0.35 | $0.56 | $0.76 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.89 | Professional | None | $3.55 | $3.55 | $3.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $1.78 Typical High $1.95 | Professional | 52 · Reduced service | $1.78 | $1.78 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.78 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.52 Typical High $0.58 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $0.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.36 Typical High $0.39 | Professional | 56 · Pre-op care only | $0.35 | $0.36 | $0.39 |
BCBS Texas Setting Facility Modifier None Typical Low $3.47 Median $8.51 Typical High $16.60 | Facility | None | $3.47 | $8.51 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $6.61 Typical High $11.22 | Facility | None | $3.55 | $6.61 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Moda Health Setting Facility Modifier None Typical Low $3.55 Median $4.57 Typical High $8.51 | Facility | None | $3.55 | $4.57 | $8.51 |
Moda Health Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.89 | Professional | None | $3.55 | $3.55 | $3.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $1.78 Typical High $1.82 | Professional | 52 · Reduced service | $1.78 | $1.78 | $1.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.72 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.72 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.52 Typical High $0.55 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $0.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.35 Typical High $0.37 | Professional | 56 · Pre-op care only | $0.35 | $0.35 | $0.37 |
Molina Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Providence Setting Facility Modifier None Typical Low $3.55 Median $5.01 Typical High $30.20 | Facility | None | $3.55 | $5.01 | $30.20 |
Providence Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Wellpoint Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Where Texas sits
The same service costs 1.7 times more in Arizona than in Illinois. 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· 15th of 51
$3.72
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.