How much rates vary
Facilitymedian $5 · 10th to 90th $3 to $11Professionalmedian $4 · 10th to 90th $3 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 $3.47 Median $5.37 Typical High $7.24 | Facility | None | $3.47 | $5.37 | $7.24 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.74 Median $2.69 Typical High $3.63 | Facility | 52 · Reduced service | $1.74 | $2.69 | $3.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.69 Median $1.07 Typical High $1.45 | Facility | 53 · Discontinued | $0.69 | $1.07 | $1.45 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.52 Median $0.79 Typical High $1.10 | Facility | 55 · Aftercare only | $0.52 | $0.79 | $1.10 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.52 Typical High $0.72 | Facility | 56 · Pre-op care only | $0.35 | $0.52 | $0.72 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.47 Typical High $3.98 | Professional | None | $3.39 | $3.47 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.74 Typical High $2.00 | Professional | 52 · Reduced service | $1.70 | $1.74 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.69 Typical High $0.79 | Professional | 53 · Discontinued | $0.68 | $0.69 | $0.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.51 Median $0.52 Typical High $0.60 | Professional | 55 · Aftercare only | $0.51 | $0.52 | $0.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.35 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.34 | $0.35 | $0.40 |
BCBS Texas Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $8.51 Typical High $11.48 | Facility | None | $3.63 | $8.51 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
Moda Health Setting Facility Modifier None Typical Low $3.47 Median $4.37 Typical High $8.13 | Facility | None | $3.47 | $4.37 | $8.13 |
Moda Health Setting Professional Modifier None Typical Low $3.39 Median $3.47 Typical High $3.47 | Professional | None | $3.39 | $3.47 | $3.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.74 Typical High $1.74 | Professional | 52 · Reduced service | $1.70 | $1.74 | $1.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.69 Typical High $0.69 | Professional | 53 · Discontinued | $0.68 | $0.69 | $0.69 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.51 Median $0.52 Typical High $0.52 | Professional | 55 · Aftercare only | $0.51 | $0.52 | $0.52 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.35 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.34 | $0.35 | $0.35 |
Molina Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Providence Setting Facility Modifier None Typical Low $3.47 Median $4.79 Typical High $30.90 | Facility | None | $3.47 | $4.79 | $30.90 |
Providence Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Wellpoint Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Where Texas sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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· 30th of 51
$3.55
AK $5.75OK $2.82
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.