How much rates vary
Facilitymedian $16 · 10th to 90th $6 to $29Professionalmedian $7 · 10th to 90th $3 to $8
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 $6.46 Median $10.00 Typical High $13.49 | Facility | None | $6.46 | $10.00 | $13.49 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $3.24 Median $5.01 Typical High $6.76 | Facility | 52 · Reduced service | $3.24 | $5.01 | $6.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.29 Median $2.00 Typical High $2.75 | Facility | 53 · Discontinued | $1.29 | $2.00 | $2.75 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.98 Median $1.51 Typical High $2.04 | Facility | 55 · Aftercare only | $0.98 | $1.51 | $2.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.65 Median $1.00 Typical High $1.35 | Facility | 56 · Pre-op care only | $0.65 | $1.00 | $1.35 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.46 Typical High $6.76 | Professional | None | $6.31 | $6.46 | $6.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.24 Typical High $3.39 | Professional | 52 · Reduced service | $3.16 | $3.24 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.29 Typical High $1.35 | Professional | 53 · Discontinued | $1.26 | $1.29 | $1.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.95 Median $0.98 Typical High $1.00 | Professional | 55 · Aftercare only | $0.95 | $0.98 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.63 Median $0.65 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.63 | $0.65 | $0.68 |
BCBS Texas Setting Facility Modifier None Typical Low $6.61 Median $17.78 Typical High $29.51 | Facility | None | $6.61 | $17.78 | $29.51 |
BCBS Texas Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $10.00 Typical High $21.38 | Facility | None | $6.76 | $10.00 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Moda Health Setting Facility Modifier None Typical Low $0.68 Median $7.76 Typical High $15.14 | Facility | None | $0.68 | $7.76 | $15.14 |
Moda Health Setting Professional Modifier None Typical Low $6.31 Median $6.46 Typical High $6.76 | Professional | None | $6.31 | $6.46 | $6.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $3.16 Median $3.24 Typical High $3.39 | Professional | 52 · Reduced service | $3.16 | $3.24 | $3.39 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.29 Typical High $1.35 | Professional | 53 · Discontinued | $1.26 | $1.29 | $1.35 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.95 Median $0.98 Typical High $1.00 | Professional | 55 · Aftercare only | $0.95 | $0.98 | $1.00 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.63 Median $0.65 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.63 | $0.65 | $0.68 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $0.71 Median $8.13 Typical High $57.54 | Facility | None | $0.71 | $8.13 | $57.54 |
Providence Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
United Setting Professional Modifier None Typical Low $2.63 Median $6.61 Typical High $6.61 | Professional | None | $2.63 | $6.61 | $6.61 |
Wellpoint Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Where Texas sits
The same service costs 15.5 times more in Alaska than in Hawaii. 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· 12th of 51
$6.76
AK $10.72HI $0.69
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.