How much rates vary
Facilitymedian $8 · 10th to 90th $3 to $15Professionalmedian $4 · 10th to 90th $1 to $6
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 $3.89 Median $5.62 Typical High $8.13 | Facility | None | $3.89 | $5.62 | $8.13 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.95 Median $2.95 Typical High $4.07 | Facility | 52 · Reduced service | $1.95 | $2.95 | $4.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.78 Median $1.20 Typical High $1.62 | Facility | 53 · Discontinued | $0.78 | $1.20 | $1.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.58 Median $0.89 Typical High $1.23 | Facility | 55 · Aftercare only | $0.58 | $0.89 | $1.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.59 Typical High $0.81 | Facility | 56 · Pre-op care only | $0.39 | $0.59 | $0.81 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.89 Typical High $3.98 | Professional | None | $3.80 | $3.89 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $1.95 Typical High $2.00 | Professional | 52 · Reduced service | $1.86 | $1.95 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.78 Typical High $0.79 | Professional | 53 · Discontinued | $0.76 | $0.78 | $0.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.58 Typical High $0.60 | Professional | 55 · Aftercare only | $0.56 | $0.58 | $0.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.39 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.38 | $0.39 | $0.40 |
BCBS Texas Setting Facility Modifier None Typical Low $3.39 Median $7.59 Typical High $15.14 | Facility | None | $3.39 | $7.59 | $15.14 |
BCBS Texas Setting Professional Modifier None Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | None | $0.83 | $0.83 | $0.83 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $4.27 Typical High $4.27 | Facility | None | $3.98 | $4.27 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Moda Health Setting Facility Modifier None Typical Low $3.89 Median $5.50 Typical High $27.54 | Facility | None | $3.89 | $5.50 | $27.54 |
Moda Health Setting Professional Modifier None Typical Low $3.80 Median $3.89 Typical High $3.98 | Professional | None | $3.80 | $3.89 | $3.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $1.95 Typical High $2.00 | Professional | 52 · Reduced service | $1.86 | $1.95 | $2.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.78 Typical High $0.79 | Professional | 53 · Discontinued | $0.76 | $0.78 | $0.79 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.58 Typical High $0.60 | Professional | 55 · Aftercare only | $0.56 | $0.58 | $0.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.39 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.38 | $0.39 | $0.40 |
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 $3.80 Median $4.27 Typical High $5.50 | Facility | None | $3.80 | $4.27 | $5.50 |
Providence Setting Professional Modifier None Typical Low $3.89 Median $3.98 Typical High $3.98 | Professional | None | $3.89 | $3.98 | $3.98 |
United Setting Professional Modifier None Typical Low $2.34 Median $5.89 Typical High $5.89 | Professional | None | $2.34 | $5.89 | $5.89 |
Wellpoint Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Where Texas sits
The same service costs 5.9 times more in Hawaii than in Arkansas. 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· 30th of 51
$4.27
HI $6.61AR $1.12
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.