How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $3Professionalmedian $1 · 10th to 90th $0 to $4
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 $0.37 Median $0.56 Typical High $0.78 | Facility | None | $0.37 | $0.56 | $0.78 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.19 Median $0.27 Typical High $0.39 | Facility | 52 · Reduced service | $0.19 | $0.27 | $0.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.07 Median $0.11 Typical High $0.16 | Facility | 53 · Discontinued | $0.07 | $0.11 | $0.16 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.06 Median $0.08 Typical High $0.12 | Facility | 55 · Aftercare only | $0.06 | $0.08 | $0.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.05 Typical High $0.08 | Facility | 56 · Pre-op care only | $0.04 | $0.05 | $0.08 |
Aetna Setting Professional Modifier None Typical Low $0.36 Median $0.37 Typical High $0.43 | Professional | None | $0.36 | $0.37 | $0.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.18 Median $0.19 Typical High $0.22 | Professional | 52 · Reduced service | $0.18 | $0.19 | $0.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.08 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $3.39 Typical High $3.39 | Facility | None | $3.31 | $3.39 | $3.39 |
Moda Health Setting Facility Modifier None Typical Low $0.37 Median $0.52 Typical High $3.72 | Facility | None | $0.37 | $0.52 | $3.72 |
Moda Health Setting Professional Modifier None Typical Low $0.36 Median $0.37 Typical High $0.38 | Professional | None | $0.36 | $0.37 | $0.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.18 Median $0.19 Typical High $0.19 | Professional | 52 · Reduced service | $0.18 | $0.19 | $0.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.07 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.06 | $0.06 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
Providence Setting Facility Modifier None Typical Low $0.36 Median $0.52 Typical High $4.57 | Facility | None | $0.36 | $0.52 | $4.57 |
Providence Setting Professional Modifier None Typical Low $0.34 Median $0.34 Typical High $5.37 | Professional | None | $0.34 | $0.34 | $5.37 |
United Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
Wellpoint Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
Where Texas sits
The same service costs 14.1 times more in Wisconsin than in New York. 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· 44th of 51
$0.62
WI $4.79NY $0.34
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.