How much rates vary
Facilitymedian $93 · 10th to 90th $66 to $141Professionalmedian $71 · 10th to 90th $65 to $81
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 $66.07 Median $102.33 Typical High $141.25 | Facility | None | $66.07 | $102.33 | $141.25 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $51.29 Typical High $69.18 | Facility | 52 · Reduced service | $33.11 | $51.29 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $20.42 Typical High $28.18 | Facility | 53 · Discontinued | $13.18 | $20.42 | $28.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.00 Median $15.49 Typical High $20.89 | Facility | 55 · Aftercare only | $10.00 | $15.49 | $20.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.61 Median $10.23 Typical High $14.13 | Facility | 56 · Pre-op care only | $6.61 | $10.23 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $77.62 | Professional | None | $64.57 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $33.11 Typical High $38.02 | Professional | 52 · Reduced service | $32.36 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.18 Typical High $15.49 | Professional | 53 · Discontinued | $12.88 | $13.18 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.00 Typical High $11.48 | Professional | 55 · Aftercare only | $9.77 | $10.00 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.61 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.46 | $6.61 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $75.86 Typical High $75.86 | Facility | None | $74.13 | $75.86 | $75.86 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $93.33 Typical High $154.88 | Facility | None | $64.57 | $93.33 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | None | $64.57 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $32.36 | $33.11 | $33.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $12.88 | $13.18 | $13.18 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $9.77 | $10.00 | $10.00 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.46 | $6.61 | $6.61 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $75.86 Typical High $95.50 | Facility | None | $64.57 | $75.86 | $95.50 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Where Texas sits
The same service costs 1.9 times more in Alabama than in New York. 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· 41st of 51
$70.79
AL $120NY $64.57
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.