How much rates vary
Facilitymedian $11 · 10th to 90th $3 to $21Professionalmedian $3 · 10th to 90th $1 to $3
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 $3.09 Median $4.68 Typical High $6.76 | Facility | None | $3.09 | $4.68 | $6.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.46 Median $0.76 Typical High $1.02 | Facility | 55 · Aftercare only | $0.46 | $0.76 | $1.02 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.50 Typical High $0.68 | Facility | 56 · Pre-op care only | $0.31 | $0.50 | $0.68 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.31 | Professional | None | $3.09 | $3.09 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.46 Typical High $0.49 | Professional | 55 · Aftercare only | $0.46 | $0.46 | $0.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.31 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.31 | $0.31 | $0.33 |
BCBS Texas Setting Facility Modifier None Typical Low $4.79 Median $12.30 Typical High $21.38 | Facility | None | $4.79 | $12.30 | $21.38 |
BCBS Texas Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $7.24 Typical High $10.00 | Facility | None | $3.09 | $7.24 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $5.37 | Professional | None | $3.09 | $3.09 | $5.37 |
Moda Health Setting Facility Modifier None Typical Low $2.95 Median $4.47 Typical High $10.96 | Facility | None | $2.95 | $4.47 | $10.96 |
Moda Health Setting Professional Modifier None Typical Low $3.09 Median $3.16 Typical High $3.31 | Professional | None | $3.09 | $3.16 | $3.31 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.47 Median $0.47 Typical High $0.49 | Professional | 55 · Aftercare only | $0.47 | $0.47 | $0.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.32 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.31 | $0.32 | $0.33 |
Molina Setting Professional Modifier None Typical Low $2.14 Median $2.29 Typical High $2.88 | Professional | None | $2.14 | $2.29 | $2.88 |
Providence Setting Facility Modifier None Typical Low $3.09 Median $4.37 Typical High $26.30 | Facility | None | $3.09 | $4.37 | $26.30 |
Providence Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $5.37 | Professional | None | $3.09 | $3.09 | $5.37 |
United Setting Professional Modifier None Typical Low $1.26 Median $3.16 Typical High $3.16 | Professional | None | $1.26 | $3.16 | $3.16 |
Wellpoint Setting Professional Modifier None Typical Low $3.09 Median $3.24 Typical High $3.24 | Professional | None | $3.09 | $3.24 | $3.24 |
Where Texas sits
The same service costs 3.5 times more in Oklahoma than in Virginia. 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· 33rd of 51
$3.16
OK $10.72VA $3.09
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.