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 $2.14 Median $3.39 Typical High $4.68 | Facility | None | $2.14 | $3.39 | $4.68 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.07 Median $1.70 Typical High $2.34 | Facility | 52 · Reduced service | $1.07 | $1.70 | $2.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.42 Median $0.68 Typical High $0.93 | Facility | 53 · Discontinued | $0.42 | $0.68 | $0.93 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.32 Median $0.51 Typical High $0.71 | Facility | 55 · Aftercare only | $0.32 | $0.51 | $0.71 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.34 Typical High $0.47 | Facility | 56 · Pre-op care only | $0.21 | $0.34 | $0.47 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.34 | Professional | None | $2.14 | $2.14 | $2.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.07 Median $1.07 Typical High $1.17 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.43 Typical High $0.47 | Professional | 53 · Discontinued | $0.42 | $0.43 | $0.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.32 Typical High $0.35 | Professional | 55 · Aftercare only | $0.32 | $0.32 | $0.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.23 |
BCBS Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Cigna Setting Facility Modifier None Typical Low $2.14 Median $3.98 Typical High $6.76 | Facility | None | $2.14 | $3.98 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Moda Health Setting Facility Modifier None Typical Low $2.14 Median $2.82 Typical High $5.13 | Facility | None | $2.14 | $2.82 | $5.13 |
Moda Health Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.34 | Professional | None | $2.14 | $2.14 | $2.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.07 Median $1.07 Typical High $1.12 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.43 Typical High $0.45 | Professional | 53 · Discontinued | $0.43 | $0.43 | $0.45 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.32 Typical High $0.33 | Professional | 55 · Aftercare only | $0.32 | $0.32 | $0.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.21 | $0.22 | $0.22 |
Molina Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Providence Setting Facility Modifier None Typical Low $2.14 Median $3.02 Typical High $18.20 | Facility | None | $2.14 | $3.02 | $18.20 |
Providence Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Wellpoint Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Where Texas sits
The same service costs 3467.4 times more in Alabama than in New Mexico. 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· 24th of 51
$2.14
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.