How much rates vary
Facilitymedian $9 · 10th to 90th $3 to $21Professionalmedian $2 · 10th to 90th $2 to $19
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 $2.29 Median $3.72 Typical High $5.37 | Facility | None | $2.29 | $3.72 | $5.37 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.12 Median $2.00 Typical High $2.69 | Facility | 52 · Reduced service | $1.12 | $2.00 | $2.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.45 Median $0.79 Typical High $1.07 | Facility | 53 · Discontinued | $0.45 | $0.79 | $1.07 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.34 Median $0.59 Typical High $0.81 | Facility | 55 · Aftercare only | $0.34 | $0.59 | $0.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.40 Typical High $0.54 | Facility | 56 · Pre-op care only | $0.23 | $0.40 | $0.54 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.51 | Professional | None | $2.29 | $2.29 | $2.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.12 Median $1.15 Typical High $1.26 | Professional | 52 · Reduced service | $1.12 | $1.15 | $1.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.46 Typical High $0.50 | Professional | 53 · Discontinued | $0.45 | $0.46 | $0.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.34 Median $0.34 Typical High $0.37 | Professional | 55 · Aftercare only | $0.34 | $0.34 | $0.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.23 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.23 | $0.23 | $0.25 |
BCBS Texas Setting Facility Modifier None Typical Low $14.45 Median $15.85 Typical High $22.91 | Facility | None | $14.45 | $15.85 | $22.91 |
BCBS Texas Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $5.37 Typical High $7.41 | Facility | None | $2.29 | $5.37 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Moda Health Setting Facility Modifier None Typical Low $2.51 Median $5.25 Typical High $19.05 | Facility | None | $2.51 | $5.25 | $19.05 |
Moda Health Setting Professional Modifier None Typical Low $2.45 Median $2.51 Typical High $2.75 | Professional | None | $2.45 | $2.51 | $2.75 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.23 Median $1.26 Typical High $1.29 | Professional | 52 · Reduced service | $1.23 | $1.26 | $1.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.50 Median $0.50 Typical High $0.52 | Professional | 53 · Discontinued | $0.50 | $0.50 | $0.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.38 Typical High $0.39 | Professional | 55 · Aftercare only | $0.37 | $0.38 | $0.39 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.26 |
Molina Setting Professional Modifier None Typical Low $1.58 Median $1.74 Typical High $1.95 | Professional | None | $1.58 | $1.74 | $1.95 |
Providence Setting Facility Modifier None Typical Low $2.29 Median $3.24 Typical High $19.50 | Facility | None | $2.29 | $3.24 | $19.50 |
Providence Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
United Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
Wellpoint Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | None | $2.75 | $2.75 | $2.75 |
Where Texas sits
The same service costs 4.8 times more in Oklahoma than in Georgia. 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· 6th of 51
$3.55
OK $10.96GA $2.29
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.