How much rates vary
Facilitymedian $28 · 10th to 90th $14 to $54Professionalmedian $13 · 10th to 90th $13 to $14
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 $13.49 Median $20.89 Typical High $28.18 | Facility | None | $13.49 | $20.89 | $28.18 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $6.76 Median $10.23 Typical High $14.13 | Facility | 52 · Reduced service | $6.76 | $10.23 | $14.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.69 Median $4.17 Typical High $5.62 | Facility | 53 · Discontinued | $2.69 | $4.17 | $5.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.00 Median $3.09 Typical High $4.27 | Facility | 55 · Aftercare only | $2.00 | $3.09 | $4.27 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.35 Median $2.04 Typical High $2.82 | Facility | 56 · Pre-op care only | $1.35 | $2.04 | $2.82 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $15.49 | Professional | None | $13.18 | $13.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.76 Typical High $7.76 | Professional | 52 · Reduced service | $6.61 | $6.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.69 Typical High $3.09 | Professional | 53 · Discontinued | $2.63 | $2.69 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.00 Typical High $2.34 | Professional | 55 · Aftercare only | $1.95 | $2.00 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.35 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.32 | $1.35 | $1.55 |
BCBS Texas Setting Facility Modifier None Typical Low $15.14 Median $30.90 Typical High $53.70 | Facility | None | $15.14 | $30.90 | $53.70 |
BCBS Texas Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $20.89 Typical High $44.67 | Facility | None | $13.80 | $20.89 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $16.60 Typical High $31.62 | Facility | None | $13.49 | $16.60 | $31.62 |
Moda Health Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | None | $13.18 | $13.49 | $13.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $6.61 | $6.76 | $6.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.63 | $2.69 | $2.69 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.00 Typical High $2.00 | Professional | 55 · Aftercare only | $1.95 | $2.00 | $2.00 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.35 Typical High $1.35 | Professional | 56 · Pre-op care only | $1.32 | $1.35 | $1.35 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $120.23 | Facility | None | $13.80 | $16.60 | $120.23 |
Providence Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
United Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Wellpoint Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Where Texas sits
The same service costs 9.1 times more in Alabama than in Hawaii. 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· 11th of 51
$15.85
AL $120HI $13.18
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.