How much rates vary
Facilitymedian $3 · 10th to 90th $1 to $5Professionalmedian $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 $1.12 Median $1.74 Typical High $2.40 | Facility | None | $1.12 | $1.74 | $2.40 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.56 Median $0.87 Typical High $1.20 | Facility | 52 · Reduced service | $0.56 | $0.87 | $1.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.23 Median $0.33 Typical High $0.48 | Facility | 53 · Discontinued | $0.23 | $0.33 | $0.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.17 Median $0.26 Typical High $0.36 | Facility | 55 · Aftercare only | $0.17 | $0.26 | $0.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.17 Typical High $0.24 | Facility | 56 · Pre-op care only | $0.11 | $0.17 | $0.24 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.12 Typical High $1.32 | Professional | None | $1.10 | $1.12 | $1.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.55 Median $0.56 Typical High $0.66 | Professional | 52 · Reduced service | $0.55 | $0.56 | $0.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.23 Typical High $0.26 | Professional | 53 · Discontinued | $0.22 | $0.23 | $0.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.17 Median $0.17 Typical High $0.21 | Professional | 55 · Aftercare only | $0.17 | $0.17 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.14 |
BCBS Texas Setting Facility Modifier None Typical Low $1.20 Median $3.24 Typical High $5.25 | Facility | None | $1.20 | $3.24 | $5.25 |
BCBS Texas Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | None | $1.20 | $1.20 | $1.20 |
Cigna Setting Facility Modifier None Typical Low $1.17 Median $2.75 Typical High $3.72 | Facility | None | $1.17 | $2.75 | $3.72 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | None | $1.17 | $1.17 | $1.17 |
Moda Health Setting Facility Modifier None Typical Low $1.12 Median $1.41 Typical High $2.63 | Facility | None | $1.12 | $1.41 | $2.63 |
Moda Health Setting Professional Modifier None Typical Low $1.10 Median $1.12 Typical High $1.15 | Professional | None | $1.10 | $1.12 | $1.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.55 Median $0.58 Typical High $0.58 | Professional | 52 · Reduced service | $0.55 | $0.58 | $0.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.23 Typical High $0.23 | Professional | 53 · Discontinued | $0.22 | $0.23 | $0.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 55 · Aftercare only | $0.17 | $0.17 | $0.17 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.11 |
Molina Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Providence Setting Facility Modifier None Typical Low $1.17 Median $1.58 Typical High $10.00 | Facility | None | $1.17 | $1.58 | $10.00 |
Providence Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | None | $1.17 | $1.17 | $1.17 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | None | $1.15 | $1.15 | $1.15 |
Wellpoint Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | None | $1.15 | $1.15 | $1.15 |
Where Texas sits
The same service costs 1.7 times more in Alaska than in Hawaii. 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· 8th of 51
$1.20
AK $1.86HI $1.10
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.