How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $2Professionalmedian $0 · 10th to 90th $0 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 $0.39 Median $0.60 Typical High $0.81 | Facility | None | $0.39 | $0.60 | $0.81 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.20 Median $0.30 Typical High $0.41 | Facility | 52 · Reduced service | $0.20 | $0.30 | $0.41 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.08 Median $0.11 Typical High $0.16 | Facility | 53 · Discontinued | $0.08 | $0.11 | $0.16 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.06 Median $0.09 Typical High $0.12 | Facility | 55 · Aftercare only | $0.06 | $0.09 | $0.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.06 Typical High $0.08 | Facility | 56 · Pre-op care only | $0.04 | $0.06 | $0.08 |
Aetna Setting Professional Modifier None Typical Low $0.38 Median $0.39 Typical High $0.45 | Professional | None | $0.38 | $0.39 | $0.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.19 Median $0.20 Typical High $0.23 | Professional | 52 · Reduced service | $0.19 | $0.20 | $0.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | 53 · Discontinued | $0.08 | $0.08 | $0.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.07 |
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 |
BCBS Texas Setting Facility Modifier None Typical Low $0.43 Median $1.10 Typical High $1.70 | Facility | None | $0.43 | $1.10 | $1.70 |
Cigna Setting Facility Modifier None Typical Low $0.41 Median $0.62 Typical High $1.32 | Facility | None | $0.41 | $0.62 | $1.32 |
Cigna Setting Professional Modifier None Typical Low $0.41 Median $0.41 Typical High $0.41 | Professional | None | $0.41 | $0.41 | $0.41 |
Moda Health Setting Facility Modifier None Typical Low $0.38 Median $0.47 Typical High $0.78 | Facility | None | $0.38 | $0.47 | $0.78 |
Moda Health Setting Professional Modifier None Typical Low $0.38 Median $0.39 Typical High $0.39 | Professional | None | $0.38 | $0.39 | $0.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.19 Median $0.20 Typical High $0.20 | Professional | 52 · Reduced service | $0.19 | $0.20 | $0.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 53 · Discontinued | $0.08 | $0.08 | $0.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.06 | $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 $0.38 Median $0.47 Typical High $3.55 | Facility | None | $0.38 | $0.47 | $3.55 |
Providence Setting Professional Modifier None Typical Low $0.41 Median $0.41 Typical High $0.41 | Professional | None | $0.41 | $0.41 | $0.41 |
United Setting Professional Modifier None Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | None | $1.05 | $1.05 | $1.05 |
Wellpoint Setting Professional Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | None | $0.42 | $0.42 | $0.42 |
Where Texas sits
The same service costs 2.7 times more in Mississippi than in Arkansas. 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· 27th of 51
$0.43
MS $1.05AR $0.39
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.