How much rates vary
Facilitymedian $5 · 10th to 90th $3 to $10Professionalmedian $3 · 10th to 90th $3 to $3
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 $3.24 Median $5.13 Typical High $7.08 | Facility | None | $3.24 | $5.13 | $7.08 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.62 Median $2.57 Typical High $3.55 | Facility | 52 · Reduced service | $1.62 | $2.57 | $3.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $1.02 Typical High $1.41 | Facility | 53 · Discontinued | $0.65 | $1.02 | $1.41 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $2.45 Median $3.89 Typical High $5.25 | Facility | 54 · Surgery only | $2.45 | $3.89 | $5.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.49 Median $0.78 Typical High $1.07 | Facility | 55 · Aftercare only | $0.49 | $0.78 | $1.07 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.52 Typical High $0.71 | Facility | 56 · Pre-op care only | $0.32 | $0.52 | $0.71 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.55 | Professional | None | $3.24 | $3.24 | $3.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $1.62 Typical High $1.78 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.71 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.45 Median $2.45 Typical High $2.69 | Professional | 54 · Surgery only | $2.45 | $2.45 | $2.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.49 Median $0.49 Typical High $0.52 | Professional | 55 · Aftercare only | $0.49 | $0.49 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.33 Typical High $0.36 | Professional | 56 · Pre-op care only | $0.32 | $0.33 | $0.36 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $6.17 Typical High $10.23 | Facility | None | $3.24 | $6.17 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Moda Health Setting Facility Modifier None Typical Low $3.24 Median $4.07 Typical High $6.76 | Facility | None | $3.24 | $4.07 | $6.76 |
Moda Health Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.55 | Professional | None | $3.24 | $3.24 | $3.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $1.62 Typical High $1.70 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.68 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.68 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2.45 Median $2.45 Typical High $2.51 | Professional | 54 · Surgery only | $2.45 | $2.45 | $2.51 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.49 Median $0.49 Typical High $0.51 | Professional | 55 · Aftercare only | $0.49 | $0.49 | $0.51 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.33 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.32 | $0.33 | $0.34 |
Molina Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Providence Setting Facility Modifier None Typical Low $3.24 Median $4.57 Typical High $27.54 | Facility | None | $3.24 | $4.57 | $27.54 |
Providence Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
United Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
United Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Wellpoint Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Where Texas sits
The same service costs 1.7 times more in Arizona 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· 28th of 51
$3.24
AZ $5.50ND $3.24
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.