How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $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 $0.76 Median $1.17 Typical High $1.58 | Facility | None | $0.76 | $1.17 | $1.58 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.38 Median $0.58 Typical High $0.79 | Facility | 52 · Reduced service | $0.38 | $0.58 | $0.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.15 Median $0.22 Typical High $0.32 | Facility | 53 · Discontinued | $0.15 | $0.22 | $0.32 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.11 Median $0.18 Typical High $0.24 | Facility | 55 · Aftercare only | $0.11 | $0.18 | $0.24 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.11 Typical High $0.16 | Facility | 56 · Pre-op care only | $0.08 | $0.11 | $0.16 |
Aetna Setting Professional Modifier None Typical Low $0.74 Median $0.76 Typical High $0.87 | Professional | None | $0.74 | $0.76 | $0.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.37 Median $0.38 Typical High $0.44 | Professional | 52 · Reduced service | $0.37 | $0.38 | $0.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.15 Typical High $0.18 | Professional | 53 · Discontinued | $0.15 | $0.15 | $0.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.11 Typical High $0.14 | Professional | 55 · Aftercare only | $0.11 | $0.11 | $0.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.08 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.07 | $0.08 | $0.09 |
BCBS Texas Setting Professional Modifier None Typical Low $0.74 Median $0.74 Typical High $0.74 | Professional | None | $0.74 | $0.74 | $0.74 |
Cigna Setting Facility Modifier None Typical Low $0.79 Median $1.20 Typical High $2.51 | Facility | None | $0.79 | $1.20 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Moda Health Setting Facility Modifier None Typical Low $0.74 Median $1.05 Typical High $1.78 | Facility | None | $0.74 | $1.05 | $1.78 |
Moda Health Setting Professional Modifier None Typical Low $0.74 Median $0.76 Typical High $0.76 | Professional | None | $0.74 | $0.76 | $0.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.37 Median $0.38 Typical High $0.38 | Professional | 52 · Reduced service | $0.37 | $0.38 | $0.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.15 | $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 $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.07 | $0.08 | $0.08 |
Providence Setting Facility Modifier None Typical Low $0.76 Median $1.07 Typical High $6.92 | Facility | None | $0.76 | $1.07 | $6.92 |
Providence Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
United Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Wellpoint Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Where Texas sits
The same service costs 14.5 times more in Kansas than in Montana. 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· 35th of 51
$0.79
KS $7.76MT $0.54
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.