How much rates vary
Facilitymedian $224 · 10th to 90th $158 to $525Professionalmedian $158 · 10th to 90th $155 to $162
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 $158.49 Median $245.47 Typical High $331.13 | Facility | None | $158.49 | $245.47 | $331.13 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $79.43 Median $120.23 Typical High $165.96 | Facility | 52 · Reduced service | $79.43 | $120.23 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $48.98 Typical High $66.07 | Facility | 53 · Discontinued | $31.62 | $48.98 | $66.07 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $23.44 Median $36.31 Typical High $50.12 | Facility | 55 · Aftercare only | $23.44 | $36.31 | $50.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $15.85 Median $24.55 Typical High $33.11 | Facility | 56 · Pre-op care only | $15.85 | $24.55 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $181.97 | Professional | None | $154.88 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $79.43 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.44 Typical High $27.54 | Professional | 55 · Aftercare only | $22.91 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.85 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.49 | $15.85 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $380.19 Typical High $524.81 | Facility | None | $162.18 | $380.19 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $194.98 Typical High $371.54 | Facility | None | $158.49 | $194.98 | $371.54 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | None | $154.88 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $77.62 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $30.90 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $22.91 | $23.44 | $23.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $15.49 | $15.85 | $15.85 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $218.78 Typical High $1,380.38 | Facility | None | $162.18 | $218.78 | $1,380.38 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Wellpoint Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Where Texas sits
The same service costs 1.7 times more in Arizona than in Texas. 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· 51st of 51
$158
AZ $269TX $158
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.