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 $512.86 Median $794.33 Typical High $1,096.48 | Facility | None | $512.86 | $794.33 | $1,096.48 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $257.04 Median $398.11 Typical High $549.54 | Facility | 52 · Reduced service | $257.04 | $398.11 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $158.49 Typical High $218.78 | Facility | 53 · Discontinued | $102.33 | $158.49 | $218.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $77.62 Median $120.23 Typical High $162.18 | Facility | 55 · Aftercare only | $77.62 | $120.23 | $162.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $51.29 Median $79.43 Typical High $109.65 | Facility | 56 · Pre-op care only | $51.29 | $79.43 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | None | $512.86 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 52 · Reduced service | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $112.20 | Professional | 53 · Discontinued | $102.33 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $56.23 |
BCBS Texas Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $977.24 Typical High $1,621.81 | Facility | None | $512.86 | $977.24 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Moda Health Setting Facility Modifier None Typical Low $501.19 Median $660.69 Typical High $1,202.26 | Facility | None | $501.19 | $660.69 | $1,202.26 |
Moda Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | None | $501.19 | $501.19 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $257.04 | Professional | 52 · Reduced service | $251.19 | $251.19 | $257.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | 53 · Discontinued | $100.00 | $100.00 | $104.71 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $75.86 Typical High $77.62 | Professional | 55 · Aftercare only | $74.13 | $75.86 | $77.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $51.29 |
Molina Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $4,365.16 | Facility | None | $512.86 | $741.31 | $4,365.16 |
Providence Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Where Texas sits
The same service costs 1.6 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· 20th of 51
$513
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.