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 $1.74 Median $2.75 Typical High $3.80 | Facility | None | $1.74 | $2.75 | $3.80 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.85 Median $1.38 Typical High $1.91 | Facility | 52 · Reduced service | $0.85 | $1.38 | $1.91 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.34 Median $0.56 Typical High $0.76 | Facility | 53 · Discontinued | $0.34 | $0.56 | $0.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.26 Median $0.42 Typical High $0.56 | Facility | 55 · Aftercare only | $0.26 | $0.42 | $0.56 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.28 Typical High $0.38 | Facility | 56 · Pre-op care only | $0.17 | $0.28 | $0.38 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.91 | Professional | None | $1.74 | $1.74 | $1.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.85 Median $0.87 Typical High $0.95 | Professional | 52 · Reduced service | $0.85 | $0.87 | $0.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.34 Median $0.35 Typical High $0.38 | Professional | 53 · Discontinued | $0.34 | $0.35 | $0.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.26 Median $0.26 Typical High $0.28 | Professional | 55 · Aftercare only | $0.26 | $0.26 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.17 | $0.17 | $0.19 |
BCBS Texas Setting Facility Modifier None Typical Low $1.23 Median $3.02 Typical High $5.01 | Facility | None | $1.23 | $3.02 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $3.24 Typical High $5.50 | Facility | None | $1.74 | $3.24 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Moda Health Setting Facility Modifier None Typical Low $1.74 Median $2.29 Typical High $4.27 | Facility | None | $1.74 | $2.29 | $4.27 |
Moda Health Setting Professional Modifier None Typical Low $1.74 Median $1.78 Typical High $1.91 | Professional | None | $1.74 | $1.78 | $1.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.87 Median $0.87 Typical High $0.91 | Professional | 52 · Reduced service | $0.87 | $0.87 | $0.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.35 Typical High $0.36 | Professional | 53 · Discontinued | $0.35 | $0.35 | $0.36 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.26 Median $0.26 Typical High $0.27 | Professional | 55 · Aftercare only | $0.26 | $0.26 | $0.27 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.17 | $0.18 | $0.18 |
Molina Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Providence Setting Facility Modifier None Typical Low $1.74 Median $2.45 Typical High $14.79 | Facility | None | $1.74 | $2.45 | $14.79 |
Providence Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
United Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Facility | None | $1.74 | $1.74 | $1.74 |
United Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Wellpoint Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Where Texas sits
The same service costs 1.8 times more in Alaska than in Virginia. 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· 13th of 51
$1.86
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.