How much rates vary
Facilitymedian $302 · 10th to 90th $126 to $490Professionalmedian $48 · 10th to 90th $47 to $126
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 $125.89 Median $199.53 Typical High $275.42 | Facility | None | $125.89 | $199.53 | $275.42 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $63.10 Median $100.00 Typical High $138.04 | Facility | 52 · Reduced service | $63.10 | $100.00 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $39.81 Typical High $54.95 | Facility | 53 · Discontinued | $25.12 | $39.81 | $54.95 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $18.62 Median $30.20 Typical High $40.74 | Facility | 55 · Aftercare only | $18.62 | $30.20 | $40.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.59 Median $19.95 Typical High $27.54 | Facility | 56 · Pre-op care only | $12.59 | $19.95 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | None | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 52 · Reduced service | $63.10 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $19.05 Typical High $19.50 | Professional | 55 · Aftercare only | $18.62 | $19.05 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $12.88 |
BCBS Texas Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $489.78 | Facility | None | $181.97 | $398.11 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $112.20 Typical High $151.36 | Facility | None | $47.86 | $112.20 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $165.96 Typical High $302.00 | Facility | None | $125.89 | $165.96 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $18.62 | $19.05 | $19.05 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $12.59 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Providence Setting Facility Modifier None Typical Low $47.86 Median $125.89 Typical High $407.38 | Facility | None | $47.86 | $125.89 | $407.38 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Wellpoint Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Where Texas sits
The same service costs 3.9 times more in Hawaii than in South Carolina. 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· 5th of 51
$132
HI $182SC $46.77
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.