How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.72 Median $1.15 Typical High $1.58 | Facility | None | $0.72 | $1.15 | $1.58 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.36 Median $0.58 Typical High $0.79 | Facility | 52 · Reduced service | $0.36 | $0.58 | $0.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.14 Median $0.22 Typical High $0.32 | Facility | 53 · Discontinued | $0.14 | $0.22 | $0.32 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.11 Median $0.16 Typical High $0.24 | Facility | 55 · Aftercare only | $0.11 | $0.16 | $0.24 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.11 Typical High $0.16 | Facility | 56 · Pre-op care only | $0.07 | $0.11 | $0.16 |
Aetna Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $0.78 | Professional | None | $0.72 | $0.72 | $0.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.36 Median $0.37 Typical High $0.39 | Professional | 52 · Reduced service | $0.36 | $0.37 | $0.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.14 Median $0.15 Typical High $0.16 | Professional | 53 · Discontinued | $0.14 | $0.15 | $0.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.11 Typical High $0.12 | Professional | 55 · Aftercare only | $0.11 | $0.11 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.07 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.07 | $0.07 | $0.08 |
Cigna Setting Facility Modifier None Typical Low $0.71 Median $1.66 Typical High $2.24 | Facility | None | $0.71 | $1.66 | $2.24 |
Cigna Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | None | $0.71 | $0.71 | $0.71 |
Moda Health Setting Facility Modifier None Typical Low $0.72 Median $0.95 Typical High $1.74 | Facility | None | $0.72 | $0.95 | $1.74 |
Moda Health Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | None | $0.72 | $0.72 | $0.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.36 Median $0.37 Typical High $0.37 | Professional | 52 · Reduced service | $0.36 | $0.37 | $0.37 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.14 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.14 | $0.15 | $0.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 55 · Aftercare only | $0.11 | $0.11 | $0.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.07 | $0.07 | $0.07 |
Molina Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | None | $0.72 | $0.72 | $0.72 |
Providence Setting Facility Modifier None Typical Low $0.71 Median $1.02 Typical High $6.03 | Facility | None | $0.71 | $1.02 | $6.03 |
Providence Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | None | $0.71 | $0.71 | $0.71 |
United Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Wellpoint Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Where Texas sits
The same service costs 1.7 times more in Arizona than in North Dakota. 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· 13th of 51
$0.72
AZ $1.15ND $0.68
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.