How much rates vary
Facilitymedian $3 · 10th to 90th $2 to $7Professionalmedian $2 · 10th to 90th $2 to $2
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 $2.09 Median $3.16 Typical High $4.27 | Facility | None | $2.09 | $3.16 | $4.27 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.05 Median $1.55 Typical High $2.14 | Facility | 52 · Reduced service | $1.05 | $1.55 | $2.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.42 Median $0.63 Typical High $0.85 | Facility | 53 · Discontinued | $0.42 | $0.63 | $0.85 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1.55 Median $2.34 Typical High $3.24 | Facility | 54 · Surgery only | $1.55 | $2.34 | $3.24 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.31 Median $0.47 Typical High $0.65 | Facility | 55 · Aftercare only | $0.31 | $0.47 | $0.65 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.30 Typical High $0.43 | Facility | 56 · Pre-op care only | $0.21 | $0.30 | $0.43 |
Aetna Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.29 | Professional | None | $2.09 | $2.09 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.05 Median $1.05 Typical High $1.15 | Professional | 52 · Reduced service | $1.05 | $1.05 | $1.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.46 | Professional | 53 · Discontinued | $0.42 | $0.42 | $0.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.55 Median $1.58 Typical High $1.74 | Professional | 54 · Surgery only | $1.55 | $1.58 | $1.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.32 Typical High $0.34 | Professional | 55 · Aftercare only | $0.31 | $0.32 | $0.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.23 |
BCBS Texas Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | None | $1.70 | $1.70 | $1.70 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $3.89 Typical High $6.61 | Facility | None | $2.09 | $3.89 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
Moda Health Setting Facility Modifier None Typical Low $1.95 Median $2.57 Typical High $4.79 | Facility | None | $1.95 | $2.57 | $4.79 |
Moda Health Setting Professional Modifier None Typical Low $1.95 Median $2.00 Typical High $2.14 | Professional | None | $1.95 | $2.00 | $2.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.98 Median $1.00 Typical High $1.02 | Professional | 52 · Reduced service | $0.98 | $1.00 | $1.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.39 Median $0.40 Typical High $0.41 | Professional | 53 · Discontinued | $0.39 | $0.40 | $0.41 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1.48 Median $1.48 Typical High $1.51 | Professional | 54 · Surgery only | $1.48 | $1.48 | $1.51 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.29 Median $0.30 Typical High $0.31 | Professional | 55 · Aftercare only | $0.29 | $0.30 | $0.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.20 |
Molina Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
Providence Setting Facility Modifier None Typical Low $1.95 Median $2.95 Typical High $17.78 | Facility | None | $1.95 | $2.95 | $17.78 |
Providence Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
United Setting Facility Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Facility | None | $2.09 | $2.09 | $2.09 |
United Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
Wellpoint Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
Where Texas sits
The same service costs 1.6 times more in Alaska than in Iowa. 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· 38th of 51
$2.09
AK $3.09IA $1.95
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.