How much rates vary
Facilitymedian $3 · 10th to 90th $1 to $6Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.89 Median $1.62 Typical High $2.24 | Facility | None | $0.89 | $1.62 | $2.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.14 Median $0.23 Typical High $0.33 | Facility | 55 · Aftercare only | $0.14 | $0.23 | $0.33 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.15 Typical High $0.22 | Facility | 56 · Pre-op care only | $0.09 | $0.15 | $0.22 |
Aetna Setting Professional Modifier None Typical Low $0.89 Median $0.91 Typical High $1.00 | Professional | None | $0.89 | $0.91 | $1.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.14 Typical High $0.15 | Professional | 55 · Aftercare only | $0.14 | $0.14 | $0.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.10 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.10 |
BCBS Texas Setting Facility Modifier None Typical Low $1.45 Median $3.80 Typical High $6.46 | Facility | None | $1.45 | $3.80 | $6.46 |
BCBS Texas Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | None | $1.45 | $1.45 | $1.45 |
Cigna Setting Facility Modifier None Typical Low $0.89 Median $1.70 Typical High $2.88 | Facility | None | $0.89 | $1.70 | $2.88 |
Cigna Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
Moda Health Setting Facility Modifier None Typical Low $1.02 Median $1.45 Typical High $3.39 | Facility | None | $1.02 | $1.45 | $3.39 |
Moda Health Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.12 | Professional | None | $1.02 | $1.02 | $1.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.15 Typical High $0.16 | Professional | 55 · Aftercare only | $0.15 | $0.15 | $0.16 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.10 | $0.10 | $0.11 |
Molina Setting Professional Modifier None Typical Low $0.89 Median $0.98 Typical High $1.02 | Professional | None | $0.89 | $0.98 | $1.02 |
Providence Setting Facility Modifier None Typical Low $0.89 Median $1.29 Typical High $7.76 | Facility | None | $0.89 | $1.29 | $7.76 |
Providence Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
Wellpoint Setting Professional Modifier None Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | None | $0.98 | $0.98 | $0.98 |
Where Texas sits
The same service costs 2.3 times more in South Carolina than in North Dakota. 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· 3rd of 51
$1.70
SC $2.09ND $0.89
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.