How much rates vary
Facilitymedian $174 · 10th to 90th $105 to $617Professionalmedian $105 · 10th to 90th $105 to $135
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 $104.71 Median $158.49 Typical High $263.03 | Facility | None | $104.71 | $158.49 | $263.03 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $52.48 Median $85.11 Typical High $131.83 | Facility | 52 · Reduced service | $52.48 | $85.11 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $33.88 Typical High $52.48 | Facility | 53 · Discontinued | $20.89 | $33.88 | $52.48 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $25.12 Typical High $39.81 | Facility | 55 · Aftercare only | $15.85 | $25.12 | $39.81 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $16.98 Typical High $26.30 | Facility | 56 · Pre-op care only | $10.47 | $16.98 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | None | $104.71 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $52.48 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $10.72 |
BCBS Texas Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,174.90 | Facility | None | $851.14 | $1,174.90 | $1,174.90 |
BCBS Texas Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $245.47 Typical High $346.74 | Facility | None | $104.71 | $245.47 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Lucent Health Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $263.03 | Professional | None | $123.03 | $229.09 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $616.60 | Facility | None | $120.23 | $151.36 | $616.60 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $60.26 Median $72.44 Typical High $147.91 | Facility | 52 · Reduced service | $60.26 | $72.44 | $147.91 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $29.51 Typical High $58.88 | Facility | 53 · Discontinued | $23.99 | $29.51 | $58.88 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $18.20 Median $21.88 Typical High $43.65 | Facility | 55 · Aftercare only | $18.20 | $21.88 | $43.65 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $12.02 Median $14.45 Typical High $29.51 | Facility | 56 · Pre-op care only | $12.02 | $14.45 | $29.51 |
Moda Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | None | $120.23 | $120.23 | $123.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $60.26 | $60.26 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $23.99 | $23.99 | $25.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $18.62 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $18.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $12.30 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | None | $107.15 | $107.15 | $123.03 |
Oscar Health Setting Professional Modifier None Typical Low $93.33 Median $186.21 Typical High $446.68 | Professional | None | $93.33 | $186.21 | $446.68 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $151.36 Typical High $891.25 | Facility | None | $104.71 | $151.36 | $891.25 |
Providence Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $134.90 | Professional | None | $120.23 | $128.82 | $134.90 |
Wellpoint Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Where Texas sits
The same service costs 1.9 times more in Wyoming than in Vermont. 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· 45th of 51
$105
WY $204VT $105
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.