How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
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 $0.23 Median $0.33 Typical High $0.48 | Facility | None | $0.23 | $0.33 | $0.48 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.12 Median $0.17 Typical High $0.24 | Facility | 52 · Reduced service | $0.12 | $0.17 | $0.24 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.05 Median $0.07 Typical High $0.10 | Facility | 53 · Discontinued | $0.05 | $0.07 | $0.10 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.03 Median $0.05 Typical High $0.07 | Facility | 55 · Aftercare only | $0.03 | $0.05 | $0.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.03 Typical High $0.05 | Facility | 56 · Pre-op care only | $0.02 | $0.03 | $0.05 |
Aetna Setting Professional Modifier None Typical Low $0.22 Median $0.23 Typical High $0.27 | Professional | None | $0.22 | $0.23 | $0.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.11 Median $0.12 Typical High $0.14 | Professional | 52 · Reduced service | $0.11 | $0.12 | $0.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.05 Typical High $0.05 | Professional | 53 · Discontinued | $0.04 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
BCBS Texas Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | None | $0.31 | $0.31 | $0.31 |
Cigna Setting Facility Modifier None Typical Low $0.28 Median $0.42 Typical High $0.89 | Facility | None | $0.28 | $0.42 | $0.89 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Moda Health Setting Facility Modifier None Typical Low $0.23 Median $0.30 Typical High $0.52 | Facility | None | $0.23 | $0.30 | $0.52 |
Moda Health Setting Professional Modifier None Typical Low $0.22 Median $0.23 Typical High $0.24 | Professional | None | $0.22 | $0.23 | $0.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.11 Median $0.12 Typical High $0.12 | Professional | 52 · Reduced service | $0.11 | $0.12 | $0.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.05 Typical High $0.05 | Professional | 53 · Discontinued | $0.04 | $0.05 | $0.05 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
Providence Setting Facility Modifier None Typical Low $0.28 Median $0.32 Typical High $2.40 | Facility | None | $0.28 | $0.32 | $2.40 |
Providence Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
United Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | None | $0.35 | $0.35 | $0.35 |
Wellpoint Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Where Texas sits
The same service costs 4.4 times more in Kansas than in Utah. 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· 47th of 51
$0.28
KS $1.00UT $0.23
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.