How much rates vary
Facilitymedian $11 · 10th to 90th $5 to $19Professionalmedian $5 · 10th to 90th $5 to $6
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 $5.50 Median $8.51 Typical High $11.48 | Facility | None | $5.50 | $8.51 | $11.48 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.75 Median $4.27 Typical High $5.75 | Facility | 52 · Reduced service | $2.75 | $4.27 | $5.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.10 Median $1.70 Typical High $2.29 | Facility | 53 · Discontinued | $1.10 | $1.70 | $2.29 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.83 Median $1.26 Typical High $1.74 | Facility | 55 · Aftercare only | $0.83 | $1.26 | $1.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.85 Typical High $1.15 | Facility | 56 · Pre-op care only | $0.55 | $0.85 | $1.15 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.62 Typical High $6.03 | Professional | None | $5.50 | $5.62 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $3.02 | Professional | 52 · Reduced service | $2.75 | $2.75 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.12 Typical High $1.20 | Professional | 53 · Discontinued | $1.10 | $1.12 | $1.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $0.83 Typical High $0.91 | Professional | 55 · Aftercare only | $0.83 | $0.83 | $0.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.56 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.55 | $0.56 | $0.62 |
BCBS Texas Setting Facility Modifier None Typical Low $4.79 Median $11.75 Typical High $19.50 | Facility | None | $4.79 | $11.75 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $10.47 Typical High $17.78 | Facility | None | $5.50 | $10.47 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Moda Health Setting Facility Modifier None Typical Low $5.37 Median $6.92 Typical High $12.88 | Facility | None | $5.37 | $6.92 | $12.88 |
Moda Health Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.89 | Professional | None | $5.37 | $5.37 | $5.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2.63 Median $2.69 Typical High $2.75 | Professional | 52 · Reduced service | $2.63 | $2.69 | $2.75 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.12 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.79 Median $0.81 Typical High $0.83 | Professional | 55 · Aftercare only | $0.79 | $0.81 | $0.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.54 Typical High $0.55 | Professional | 56 · Pre-op care only | $0.52 | $0.54 | $0.55 |
Molina Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Providence Setting Facility Modifier None Typical Low $5.37 Median $7.76 Typical High $46.77 | Facility | None | $5.37 | $7.76 | $46.77 |
Providence Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Wellpoint Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Where Texas sits
The same service costs 1.7 times more in Alaska than in Nebraska. 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· 9th of 51
$6.17
AK $9.33NE $5.37
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.