How much rates vary
Facilitymedian $26 · 10th to 90th $6 to $56Professionalmedian $6 · 10th to 90th $6 to $9
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 $5.62 Median $8.91 Typical High $12.88 | Facility | None | $5.62 | $8.91 | $12.88 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.82 Median $4.68 Typical High $6.46 | Facility | 52 · Reduced service | $2.82 | $4.68 | $6.46 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.12 Median $1.86 Typical High $2.57 | Facility | 53 · Discontinued | $1.12 | $1.86 | $2.57 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.83 Median $1.41 Typical High $1.91 | Facility | 55 · Aftercare only | $0.83 | $1.41 | $1.91 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.93 Typical High $1.29 | Facility | 56 · Pre-op care only | $0.56 | $0.93 | $1.29 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $6.17 | Professional | None | $5.62 | $5.62 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $2.82 Typical High $3.09 | Professional | 52 · Reduced service | $2.82 | $2.82 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.23 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $0.85 Typical High $0.91 | Professional | 55 · Aftercare only | $0.83 | $0.85 | $0.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.56 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.56 | $0.56 | $0.62 |
BCBS Texas Setting Facility Modifier None Typical Low $22.91 Median $39.81 Typical High $58.88 | Facility | None | $22.91 | $39.81 | $58.88 |
BCBS Texas Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $13.18 Typical High $18.62 | Facility | None | $5.62 | $13.18 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Moda Health Setting Facility Modifier None Typical Low $5.89 Median $19.50 Typical High $46.77 | Facility | None | $5.89 | $19.50 | $46.77 |
Moda Health Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.46 | Professional | None | $5.89 | $5.89 | $6.46 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $2.95 Typical High $3.09 | Professional | 52 · Reduced service | $2.95 | $2.95 | $3.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.20 Typical High $1.23 | Professional | 53 · Discontinued | $1.17 | $1.20 | $1.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.87 Median $0.89 Typical High $0.91 | Professional | 55 · Aftercare only | $0.87 | $0.89 | $0.91 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.59 Median $0.59 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.59 | $0.59 | $0.62 |
Molina Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
Providence Setting Facility Modifier None Typical Low $5.62 Median $7.94 Typical High $47.86 | Facility | None | $5.62 | $7.94 | $47.86 |
Providence Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
Wellpoint Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Where Texas sits
The same service costs 3.2 times more in Oklahoma than in North Dakota. 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· 6th of 51
$9.33
OK $17.78ND $5.62
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.