How much rates vary
Facilitymedian $209 · 10th to 90th $50 to $457Professionalmedian $50 · 10th to 90th $42 to $174
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 $41.69 Median $69.18 Typical High $109.65 | Facility | None | $41.69 | $69.18 | $109.65 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $20.89 Median $37.15 Typical High $53.70 | Facility | 52 · Reduced service | $20.89 | $37.15 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $15.14 Typical High $21.88 | Facility | 53 · Discontinued | $8.32 | $15.14 | $21.88 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $6.17 Median $11.22 Typical High $16.22 | Facility | 55 · Aftercare only | $6.17 | $11.22 | $16.22 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.17 Median $7.41 Typical High $10.96 | Facility | 56 · Pre-op care only | $4.17 | $7.41 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | None | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | 52 · Reduced service | $20.89 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $9.12 | Professional | 53 · Discontinued | $8.32 | $8.32 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.31 Typical High $6.92 | Professional | 55 · Aftercare only | $6.17 | $6.31 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $4.57 |
BCBS Texas Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $478.63 | Facility | None | $190.55 | $380.19 | $478.63 |
BCBS Texas Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Baylor Scott & White Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $97.72 Typical High $138.04 | Facility | None | $41.69 | $97.72 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $61.66 Typical High $173.78 | Facility | None | $50.12 | $61.66 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | None | $50.12 | $50.12 | $54.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.23 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.59 Typical High $7.76 | Professional | 55 · Aftercare only | $7.41 | $7.59 | $7.76 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.01 Typical High $5.13 | Professional | 56 · Pre-op care only | $5.01 | $5.01 | $5.13 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $61.66 Typical High $354.81 | Facility | None | $41.69 | $61.66 | $354.81 |
Providence Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $54.95 | Professional | None | $50.12 | $53.70 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Where Texas sits
The same service costs 3.9 times more in Wyoming than in Georgia. 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
$61.66
WY $162GA $41.69
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.