How much rates vary
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 $2.82 Median $4.57 Typical High $6.76 | Facility | None | $2.82 | $4.57 | $6.76 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.45 Median $2.45 Typical High $3.39 | Facility | 52 · Reduced service | $1.45 | $2.45 | $3.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.56 Median $0.98 Typical High $1.35 | Facility | 53 · Discontinued | $0.56 | $0.98 | $1.35 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.43 Median $0.72 Typical High $1.00 | Facility | 55 · Aftercare only | $0.43 | $0.72 | $1.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.49 Typical High $0.68 | Facility | 56 · Pre-op care only | $0.28 | $0.49 | $0.68 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.88 Typical High $3.16 | Professional | None | $2.82 | $2.88 | $3.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.45 Typical High $1.58 | Professional | 52 · Reduced service | $1.45 | $1.45 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.58 Typical High $0.63 | Professional | 53 · Discontinued | $0.56 | $0.58 | $0.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.43 Typical High $0.47 | Professional | 55 · Aftercare only | $0.43 | $0.43 | $0.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.31 |
BCBS Texas Setting Facility Modifier None Typical Low $13.49 Median $20.89 Typical High $32.36 | Facility | None | $13.49 | $20.89 | $32.36 |
BCBS Texas Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $5.37 Typical High $9.12 | Facility | None | $2.82 | $5.37 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Moda Health Setting Facility Modifier None Typical Low $3.09 Median $5.01 Typical High $20.42 | Facility | None | $3.09 | $5.01 | $20.42 |
Moda Health Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.39 | Professional | None | $3.09 | $3.09 | $3.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.55 Median $1.55 Typical High $1.58 | Professional | 52 · Reduced service | $1.55 | $1.55 | $1.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $0.65 | Professional | 53 · Discontinued | $0.62 | $0.62 | $0.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.47 Typical High $0.48 | Professional | 55 · Aftercare only | $0.46 | $0.47 | $0.48 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.31 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.31 | $0.31 | $0.32 |
Molina Setting Professional Modifier None Typical Low $2.00 Median $2.14 Typical High $3.02 | Professional | None | $2.00 | $2.14 | $3.02 |
Providence Setting Facility Modifier None Typical Low $2.82 Median $4.07 Typical High $24.55 | Facility | None | $2.82 | $4.07 | $24.55 |
Providence Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $3.09 | Professional | None | $2.45 | $3.09 | $3.09 |
Wellpoint Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Where Texas sits
The same service costs 2.0 times more in Wyoming than in Florida. 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
$4.07
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.