How much rates vary
Facilitymedian $6 · 10th to 90th $3 to $12Professionalmedian $4 · 10th to 90th $4 to $4
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 $3.72 Median $5.75 Typical High $7.76 | Facility | None | $3.72 | $5.75 | $7.76 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.86 Median $2.88 Typical High $3.89 | Facility | 52 · Reduced service | $1.86 | $2.88 | $3.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.74 Median $1.12 Typical High $1.55 | Facility | 53 · Discontinued | $0.74 | $1.12 | $1.55 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.56 Median $0.85 Typical High $1.17 | Facility | 55 · Aftercare only | $0.56 | $0.85 | $1.17 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.56 Typical High $0.78 | Facility | 56 · Pre-op care only | $0.37 | $0.56 | $0.78 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $4.07 | Professional | None | $3.72 | $3.72 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $1.86 Typical High $2.04 | Professional | 52 · Reduced service | $1.86 | $1.86 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.76 Typical High $0.81 | Professional | 53 · Discontinued | $0.74 | $0.76 | $0.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.56 Typical High $0.62 | Professional | 55 · Aftercare only | $0.56 | $0.56 | $0.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.38 Typical High $0.41 | Professional | 56 · Pre-op care only | $0.37 | $0.38 | $0.41 |
BCBS Texas Setting Facility Modifier None Typical Low $2.69 Median $6.61 Typical High $11.22 | Facility | None | $2.69 | $6.61 | $11.22 |
BCBS Texas Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $7.08 Typical High $11.75 | Facility | None | $3.72 | $7.08 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Moda Health Setting Facility Modifier None Typical Low $3.55 Median $4.68 Typical High $8.71 | Facility | None | $3.55 | $4.68 | $8.71 |
Moda Health Setting Professional Modifier None Typical Low $3.55 Median $3.63 Typical High $3.98 | Professional | None | $3.55 | $3.63 | $3.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $1.82 Typical High $1.86 | Professional | 52 · Reduced service | $1.78 | $1.82 | $1.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.72 Typical High $0.74 | Professional | 53 · Discontinued | $0.72 | $0.72 | $0.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.54 Median $0.54 Typical High $0.56 | Professional | 55 · Aftercare only | $0.54 | $0.54 | $0.56 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.36 Typical High $0.37 | Professional | 56 · Pre-op care only | $0.36 | $0.36 | $0.37 |
Molina Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
Providence Setting Facility Modifier None Typical Low $3.55 Median $5.25 Typical High $31.62 | Facility | None | $3.55 | $5.25 | $31.62 |
Providence Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
United Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Wellpoint Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
Where Texas sits
The same service costs 1.9 times more in Alaska than in Rhode Island. 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· 18th of 51
$3.89
AK $6.61RI $3.55
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.