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 $107.15 Median $162.18 Typical High $223.87 | Facility | None | $107.15 | $162.18 | $223.87 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $52.48 Median $81.28 Typical High $112.20 | Facility | 52 · Reduced service | $52.48 | $81.28 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $32.36 Typical High $44.67 | Facility | 53 · Discontinued | $21.38 | $32.36 | $44.67 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $24.55 Typical High $33.88 | Facility | 55 · Aftercare only | $15.85 | $24.55 | $33.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.72 Median $16.22 Typical High $22.39 | Facility | 56 · Pre-op care only | $10.72 | $16.22 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $107.15 Typical High $123.03 | Professional | None | $104.71 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $52.48 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $24.55 | Professional | 53 · Discontinued | $20.89 | $21.38 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.85 Typical High $18.62 | Professional | 55 · Aftercare only | $15.49 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.72 Typical High $12.30 | Professional | 56 · Pre-op care only | $10.23 | $10.72 | $12.30 |
BCBS Texas Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
BCBS Texas Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $120.23 Typical High $120.23 | Facility | None | $114.82 | $120.23 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $251.19 | Facility | None | $104.71 | $147.91 | $251.19 |
Moda Health Setting Professional Modifier None Typical Low $104.71 Median $107.15 Typical High $109.65 | Professional | None | $104.71 | $107.15 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $51.29 | $52.48 | $52.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $21.38 | $21.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.49 | $15.85 | $15.85 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.23 | $10.72 | $10.72 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $120.23 Typical High $151.36 | Facility | None | $104.71 | $120.23 | $151.36 |
Providence Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $181.97 | Professional | None | $97.72 | $97.72 | $181.97 |
United Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Wellpoint Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in Arkansas. 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· 46th of 51
$110
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.