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 $213.80 Median $338.84 Typical High $467.74 | Facility | None | $213.80 | $338.84 | $467.74 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $107.15 Median $169.82 Typical High $234.42 | Facility | 52 · Reduced service | $107.15 | $169.82 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $67.61 Typical High $93.33 | Facility | 53 · Discontinued | $42.66 | $67.61 | $93.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $51.29 Typical High $70.79 | Facility | 55 · Aftercare only | $32.36 | $51.29 | $70.79 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $33.88 Typical High $46.77 | Facility | 56 · Pre-op care only | $21.38 | $33.88 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | None | $213.80 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | 52 · Reduced service | $107.15 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $46.77 | Professional | 53 · Discontinued | $42.66 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $23.44 |
BCBS Texas Setting Facility Modifier None Typical Low $218.78 Median $575.44 Typical High $870.96 | Facility | None | $218.78 | $575.44 | $870.96 |
BCBS Texas Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $676.08 | Facility | None | $213.80 | $416.87 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $281.84 Typical High $512.86 | Facility | None | $213.80 | $281.84 | $512.86 |
Moda Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | None | $213.80 | $213.80 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | 52 · Reduced service | $107.15 | $107.15 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $44.67 | Professional | 53 · Discontinued | $42.66 | $43.65 | $44.67 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $33.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $22.39 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $22.39 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $309.03 Typical High $1,819.70 | Facility | None | $213.80 | $309.03 | $1,819.70 |
Providence Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Where Texas sits
The same service costs 7.6 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· 11th of 51
$240
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.