How much rates vary
Facilitymedian $4 · 10th to 90th $0 to $13Professionalmedian $3 · 10th to 90th $0 to $5
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 $0.46 Median $0.71 Typical High $0.98 | Facility | None | $0.46 | $0.71 | $0.98 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.23 Median $0.36 Typical High $0.49 | Facility | 52 · Reduced service | $0.23 | $0.36 | $0.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.09 Median $0.14 Typical High $0.19 | Facility | 53 · Discontinued | $0.09 | $0.14 | $0.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.07 Median $0.10 Typical High $0.15 | Facility | 55 · Aftercare only | $0.07 | $0.10 | $0.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.07 Typical High $0.10 | Facility | 56 · Pre-op care only | $0.05 | $0.07 | $0.10 |
Aetna Setting Professional Modifier None Typical Low $0.45 Median $0.46 Typical High $0.48 | Professional | None | $0.45 | $0.46 | $0.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.23 Typical High $0.24 | Professional | 52 · Reduced service | $0.23 | $0.23 | $0.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $0.10 | Professional | 53 · Discontinued | $0.09 | $0.09 | $0.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
BCBS Texas Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | None | $0.10 | $0.10 | $0.10 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $9.33 Typical High $12.88 | Facility | None | $3.98 | $9.33 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Moda Health Setting Facility Modifier None Typical Low $0.46 Median $0.66 Typical High $1.55 | Facility | None | $0.46 | $0.66 | $1.55 |
Moda Health Setting Professional Modifier None Typical Low $0.45 Median $0.46 Typical High $0.48 | Professional | None | $0.45 | $0.46 | $0.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.23 Typical High $0.24 | Professional | 52 · Reduced service | $0.23 | $0.23 | $0.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $0.10 | Professional | 53 · Discontinued | $0.09 | $0.09 | $0.10 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.07 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
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 $0.65 Median $4.57 Typical High $33.88 | Facility | None | $0.65 | $4.57 | $33.88 |
Providence Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
United Setting Professional Modifier None Typical Low $1.86 Median $4.68 Typical High $4.68 | Professional | None | $1.86 | $4.68 | $4.68 |
Wellpoint Setting Professional Modifier None Typical Low $0.59 Median $0.59 Typical High $0.59 | Professional | None | $0.59 | $0.59 | $0.59 |
Where Texas sits
The same service costs 58.9 times more in Montana 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· 29th of 51
$3.55
MT $6.46HI $0.11
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.