How much rates vary
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 $316.23 Median $501.19 Typical High $676.08 | Facility | None | $316.23 | $501.19 | $676.08 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $158.49 Median $251.19 Typical High $338.84 | Facility | 52 · Reduced service | $158.49 | $251.19 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $100.00 Typical High $134.90 | Facility | 53 · Discontinued | $64.57 | $100.00 | $134.90 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $47.86 Median $74.13 Typical High $102.33 | Facility | 55 · Aftercare only | $47.86 | $74.13 | $102.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $31.62 Median $50.12 Typical High $67.61 | Facility | 56 · Pre-op care only | $31.62 | $50.12 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $354.81 | Professional | None | $316.23 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $162.18 Typical High $173.78 | Professional | 52 · Reduced service | $158.49 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $32.36 Typical High $35.48 | Professional | 56 · Pre-op care only | $31.62 | $32.36 | $35.48 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $616.60 Typical High $1,202.26 | Facility | None | $245.47 | $616.60 | $1,202.26 |
BCBS Texas Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $602.56 Typical High $1,023.29 | Facility | None | $316.23 | $602.56 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $758.58 | Facility | None | $309.03 | $407.38 | $758.58 |
Moda Health Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $346.74 | Professional | None | $309.03 | $316.23 | $346.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $158.49 Typical High $162.18 | Professional | 52 · Reduced service | $154.88 | $158.49 | $162.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $63.10 | $63.10 | $64.57 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $48.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $31.62 Typical High $32.36 | Professional | 56 · Pre-op care only | $30.90 | $31.62 | $32.36 |
Molina Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $457.09 Typical High $2,754.23 | Facility | None | $309.03 | $457.09 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Wellpoint Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Where Texas sits
The same service costs 1.6 times more in Arizona than in Rhode Island. 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· 21st of 51
$324
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.