How much rates vary
Facilitymedian $229 · 10th to 90th $115 to $389Professionalmedian $120 · 10th to 90th $115 to $123
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 $117.49 Median $181.97 Typical High $245.47 | Facility | None | $117.49 | $181.97 | $245.47 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $58.88 Median $91.20 Typical High $123.03 | Facility | 52 · Reduced service | $58.88 | $91.20 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $36.31 Typical High $50.12 | Facility | 53 · Discontinued | $23.44 | $36.31 | $50.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $17.78 Median $26.92 Typical High $37.15 | Facility | 55 · Aftercare only | $17.78 | $26.92 | $37.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.75 Median $18.20 Typical High $24.55 | Facility | 56 · Pre-op care only | $11.75 | $18.20 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $134.90 | Professional | None | $114.82 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $57.54 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $27.54 | Professional | 53 · Discontinued | $22.91 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $20.42 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.75 Typical High $13.49 | Professional | 56 · Pre-op care only | $11.48 | $11.75 | $13.49 |
BCBS Texas Setting Facility Modifier None Typical Low $100.00 Median $239.88 Typical High $407.38 | Facility | None | $100.00 | $239.88 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $288.40 Typical High $389.05 | Facility | None | $123.03 | $288.40 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $275.42 | Facility | None | $117.49 | $147.91 | $275.42 |
Moda Health Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $123.03 | Professional | None | $114.82 | $117.49 | $123.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $57.54 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $22.91 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $17.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.48 | $11.75 | $11.75 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $165.96 Typical High $1,047.13 | Facility | None | $117.49 | $165.96 | $1,047.13 |
Providence Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Where Texas sits
The same service costs 1.7 times more in Arizona than in Hawaii. 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· 6th of 51
$129
AZ $195HI $112
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.