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 $18.20 Median $25.70 Typical High $42.66 | Facility | None | $18.20 | $25.70 | $42.66 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $9.12 Median $12.88 Typical High $21.38 | Facility | 52 · Reduced service | $9.12 | $12.88 | $21.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $5.13 Typical High $8.51 | Facility | 53 · Discontinued | $3.63 | $5.13 | $8.51 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.69 Median $3.80 Typical High $6.31 | Facility | 55 · Aftercare only | $2.69 | $3.80 | $6.31 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.51 Typical High $4.27 | Facility | 56 · Pre-op care only | $1.82 | $2.51 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | None | $18.20 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.12 Typical High $10.00 | Professional | 52 · Reduced service | $9.12 | $9.12 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.98 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.75 Typical High $2.95 | Professional | 55 · Aftercare only | $2.69 | $2.75 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.82 | $1.82 | $2.00 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $34.67 Typical High $57.54 | Facility | None | $18.20 | $34.67 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Moda Health Setting Facility Modifier None Typical Low $19.50 Median $23.44 Typical High $40.74 | Facility | None | $19.50 | $23.44 | $40.74 |
Moda Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | None | $19.50 | $19.50 | $21.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $9.77 Typical High $10.00 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.07 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.07 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.95 Typical High $3.02 | Professional | 55 · Aftercare only | $2.88 | $2.95 | $3.02 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.95 | $1.95 | $2.04 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Providence Setting Facility Modifier None Typical Low $18.20 Median $25.70 Typical High $154.88 | Facility | None | $18.20 | $25.70 | $154.88 |
Providence Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $19.50 Median $20.89 Typical High $21.88 | Professional | None | $19.50 | $20.89 | $21.88 |
Wellpoint Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Where Texas sits
The same service costs 2.1 times more in Oklahoma than in Florida. 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· 28th of 51
$19.50
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.