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 $144.54 Median $169.82 Typical High $338.84 | Facility | None | $144.54 | $169.82 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $151.36 | Professional | None | $144.54 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $28.84 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.79 Typical High $15.14 | Professional | 56 · Pre-op care only | $14.45 | $14.79 | $15.14 |
BCBS Texas Setting Facility Modifier None Typical Low $162.18 Median $380.19 Typical High $630.96 | Facility | None | $162.18 | $380.19 | $630.96 |
BCBS Texas Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $281.84 Typical High $467.74 | Facility | None | $144.54 | $281.84 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $338.84 | Facility | None | $141.25 | $169.82 | $338.84 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | None | $141.25 | $141.25 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 52 · Reduced service | $70.79 | $70.79 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $21.38 Typical High $21.88 | Professional | 55 · Aftercare only | $20.89 | $21.38 | $21.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $14.45 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $14.45 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $208.93 Typical High $1,230.27 | Facility | None | $144.54 | $208.93 | $1,230.27 |
Providence Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $141.25 Median $151.36 Typical High $154.88 | Professional | None | $141.25 | $151.36 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Where Texas sits
The same service costs 1.5 times more in Arizona than in Oregon. 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
$166
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.