How much rates vary
Facilitymedian $141 · 10th to 90th $100 to $347Professionalmedian $107 · 10th to 90th $98 to $123
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 $100.00 Median $154.88 Typical High $213.80 | Facility | None | $100.00 | $154.88 | $213.80 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $50.12 Median $77.62 Typical High $107.15 | Facility | 52 · Reduced service | $50.12 | $77.62 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $30.90 Typical High $42.66 | Facility | 53 · Discontinued | $19.95 | $30.90 | $42.66 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.14 Median $23.44 Typical High $31.62 | Facility | 55 · Aftercare only | $15.14 | $23.44 | $31.62 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.00 Median $15.49 Typical High $21.38 | Facility | 56 · Pre-op care only | $10.00 | $15.49 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $117.49 | Professional | None | $97.72 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $19.95 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $15.14 Typical High $17.38 | Professional | 55 · Aftercare only | $14.79 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.00 Typical High $11.75 | Professional | 56 · Pre-op care only | $9.77 | $10.00 | $11.75 |
BCBS Texas Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $239.88 | Facility | None | $234.42 | $234.42 | $239.88 |
BCBS Texas Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $346.74 | Facility | None | $107.15 | $162.18 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $9.33 Median $107.15 Typical High $204.17 | Facility | None | $9.33 | $107.15 | $204.17 |
Moda Health Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | None | $97.72 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $48.98 | $50.12 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.50 | $19.95 | $19.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $14.79 | $15.14 | $15.14 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.77 | $10.00 | $10.00 |
Molina Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $933.25 | Facility | None | $100.00 | $123.03 | $933.25 |
Providence Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Where Texas sits
The same service costs 3.9 times more in Alaska than in Montana. 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
$107
AK $166MT $42.66
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.