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 $1.48 Median $2.45 Typical High $3.31 | Facility | None | $1.48 | $2.45 | $3.31 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.76 Median $1.23 Typical High $1.66 | Facility | 52 · Reduced service | $0.76 | $1.23 | $1.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.30 Median $0.49 Typical High $0.68 | Facility | 53 · Discontinued | $0.30 | $0.49 | $0.68 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.22 Median $0.36 Typical High $0.50 | Facility | 55 · Aftercare only | $0.22 | $0.36 | $0.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.23 Typical High $0.33 | Facility | 56 · Pre-op care only | $0.15 | $0.23 | $0.33 |
Aetna Setting Professional Modifier None Typical Low $1.48 Median $1.51 Typical High $1.62 | Professional | None | $1.48 | $1.51 | $1.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.76 Median $0.76 Typical High $0.81 | Professional | 52 · Reduced service | $0.76 | $0.76 | $0.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.30 Median $0.30 Typical High $0.33 | Professional | 53 · Discontinued | $0.30 | $0.30 | $0.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.22 Median $0.23 Typical High $0.25 | Professional | 55 · Aftercare only | $0.22 | $0.23 | $0.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.16 |
BCBS Texas Setting Facility Modifier None Typical Low $1.23 Median $3.09 Typical High $6.03 | Facility | None | $1.23 | $3.09 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $1.48 Median $2.82 Typical High $4.79 | Facility | None | $1.48 | $2.82 | $4.79 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | None | $1.48 | $1.48 | $1.48 |
Moda Health Setting Facility Modifier None Typical Low $1.51 Median $2.14 Typical High $3.72 | Facility | None | $1.51 | $2.14 | $3.72 |
Moda Health Setting Professional Modifier None Typical Low $1.51 Median $1.55 Typical High $1.70 | Professional | None | $1.51 | $1.55 | $1.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.76 Median $0.78 Typical High $0.79 | Professional | 52 · Reduced service | $0.76 | $0.78 | $0.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.30 Median $0.31 Typical High $0.32 | Professional | 53 · Discontinued | $0.30 | $0.31 | $0.32 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.23 Median $0.23 Typical High $0.24 | Professional | 55 · Aftercare only | $0.23 | $0.23 | $0.24 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.16 |
Molina Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Providence Setting Facility Modifier None Typical Low $1.48 Median $2.09 Typical High $12.88 | Facility | None | $1.48 | $2.09 | $12.88 |
Providence Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | None | $1.48 | $1.48 | $1.48 |
United Setting Facility Modifier None Typical Low $1.48 Median $1.48 Typical High $1.48 | Facility | None | $1.48 | $1.48 | $1.48 |
United Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Wellpoint Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Where Texas sits
The same service costs 1.5 times more in Alaska than in Alabama. 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· 17th of 51
$1.55
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.