How much rates vary
Facilitymedian $48 · 10th to 90th $17 to $126Professionalmedian $52 · 10th to 90th $45 to $55
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 $53.70 Median $83.18 Typical High $112.20 | Facility | None | $53.70 | $83.18 | $112.20 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $26.92 Median $41.69 Typical High $56.23 | Facility | 52 · Reduced service | $26.92 | $41.69 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $16.60 Typical High $22.39 | Facility | 53 · Discontinued | $10.72 | $16.60 | $22.39 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.13 Median $12.30 Typical High $16.98 | Facility | 55 · Aftercare only | $8.13 | $12.30 | $16.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.37 Median $8.32 Typical High $11.22 | Facility | 56 · Pre-op care only | $5.37 | $8.32 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $67.61 | Professional | None | $53.70 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | 52 · Reduced service | $26.92 | $26.92 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.96 Typical High $11.75 | Professional | 53 · Discontinued | $10.72 | $10.96 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $8.91 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.50 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.37 | $5.50 | $5.89 |
BCBS Texas Setting Facility Modifier None Typical Low $15.14 Median $35.48 Typical High $60.26 | Facility | None | $15.14 | $35.48 | $60.26 |
BCBS Texas Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $102.33 Typical High $169.82 | Facility | None | $53.70 | $102.33 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Moda Health Setting Facility Modifier None Typical Low $7.94 Median $61.66 Typical High $107.15 | Facility | None | $7.94 | $61.66 | $107.15 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $58.88 | Professional | None | $51.29 | $52.48 | $58.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.30 Typical High $26.92 | Professional | 52 · Reduced service | $25.70 | $26.30 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.72 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $8.13 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $8.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.25 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.13 | $5.25 | $5.37 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $64.57 Typical High $457.09 | Facility | None | $24.55 | $64.57 | $457.09 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Where Texas sits
The same service costs 3.0 times more in Arizona than in Oklahoma. 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· 46th of 51
$51.29
AZ $81.28OK $27.54
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.