How much rates vary
Facilitymedian $120 · 10th to 90th $85 to $282Professionalmedian $87 · 10th to 90th $83 to $89
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 $85.11 Median $131.83 Typical High $177.83 | Facility | None | $85.11 | $131.83 | $177.83 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $42.66 Median $66.07 Typical High $89.13 | Facility | 52 · Reduced service | $42.66 | $66.07 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $26.30 Typical High $36.31 | Facility | 53 · Discontinued | $16.98 | $26.30 | $36.31 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.88 Median $19.95 Typical High $26.92 | Facility | 55 · Aftercare only | $12.88 | $19.95 | $26.92 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.51 Median $13.18 Typical High $17.78 | Facility | 56 · Pre-op care only | $8.51 | $13.18 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $97.72 | Professional | None | $83.18 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.88 Typical High $14.79 | Professional | 55 · Aftercare only | $12.59 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.51 Typical High $9.77 | Professional | 56 · Pre-op care only | $8.32 | $8.51 | $9.77 |
BCBS Texas Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $169.82 | Facility | None | $165.96 | $165.96 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $131.83 Typical High $281.84 | Facility | None | $89.13 | $131.83 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $91.20 Typical High $169.82 | Facility | None | $85.11 | $91.20 | $169.82 |
Moda Health Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $89.13 | Professional | None | $83.18 | $85.11 | $89.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $41.69 | $42.66 | $42.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.60 | $16.98 | $16.98 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $12.59 | $12.88 | $12.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.51 Typical High $8.51 | Professional | 56 · Pre-op care only | $8.32 | $8.51 | $8.51 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Providence Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $758.58 | Facility | None | $89.13 | $100.00 | $758.58 |
Providence Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Wellpoint Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Where Texas sits
The same service costs 1.6 times more in Alaska than in Texas. 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· 51st of 51
$87.10
AK $141TX $87.10
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.