How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $0 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 $1.07 Median $1.62 Typical High $2.24 | Facility | None | $1.07 | $1.62 | $2.24 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.52 Median $0.81 Typical High $1.12 | Facility | 52 · Reduced service | $0.52 | $0.81 | $1.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.21 Median $0.33 Typical High $0.44 | Facility | 53 · Discontinued | $0.21 | $0.33 | $0.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.16 Median $0.23 Typical High $0.33 | Facility | 55 · Aftercare only | $0.16 | $0.23 | $0.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.15 Typical High $0.22 | Facility | 56 · Pre-op care only | $0.11 | $0.15 | $0.22 |
Aetna Setting Professional Modifier None Typical Low $1.02 Median $1.07 Typical High $1.23 | Professional | None | $1.02 | $1.07 | $1.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.52 Median $0.52 Typical High $0.62 | Professional | 52 · Reduced service | $0.52 | $0.52 | $0.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.21 Median $0.21 Typical High $0.26 | Professional | 53 · Discontinued | $0.21 | $0.21 | $0.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.16 Typical High $0.18 | Professional | 55 · Aftercare only | $0.15 | $0.16 | $0.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.11 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.10 | $0.11 | $0.12 |
BCBS Texas Setting Facility Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | None | $1.10 | $1.10 | $1.10 |
BCBS Texas Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
Cigna Setting Facility Modifier None Typical Low $0.65 Median $0.98 Typical High $2.04 | Facility | None | $0.65 | $0.98 | $2.04 |
Cigna Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
Moda Health Setting Facility Modifier None Typical Low $0.55 Median $1.38 Typical High $2.45 | Facility | None | $0.55 | $1.38 | $2.45 |
Moda Health Setting Professional Modifier None Typical Low $1.02 Median $1.07 Typical High $1.07 | Professional | None | $1.02 | $1.07 | $1.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 52 · Reduced service | $0.52 | $0.52 | $0.52 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 53 · Discontinued | $0.21 | $0.21 | $0.21 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.16 Typical High $0.16 | Professional | 55 · Aftercare only | $0.15 | $0.16 | $0.16 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.10 | $0.11 | $0.11 |
Providence Setting Facility Modifier None Typical Low $0.65 Median $1.07 Typical High $5.62 | Facility | None | $0.65 | $1.07 | $5.62 |
Providence Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
United Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $0.36 | Professional | None | $0.36 | $0.36 | $0.36 |
Wellpoint Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
Where Texas sits
The same service costs 27.5 times more in Kansas 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· 9th of 51
$1.02
KS $7.76NY $0.28
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.