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 $3.24 Median $7.08 Typical High $26.92 | Facility | None | $3.24 | $7.08 | $26.92 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.62 Median $3.55 Typical High $13.49 | Facility | 52 · Reduced service | $1.62 | $3.55 | $13.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.65 Median $1.45 Typical High $5.37 | Facility | 53 · Discontinued | $0.65 | $1.45 | $5.37 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.49 Median $1.07 Typical High $3.98 | Facility | 55 · Aftercare only | $0.49 | $1.07 | $3.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.71 Typical High $2.69 | Facility | 56 · Pre-op care only | $0.33 | $0.71 | $2.69 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.24 Typical High $6.03 | Professional | None | $2.95 | $3.24 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.48 Median $1.62 Typical High $3.02 | Professional | 52 · Reduced service | $1.48 | $1.62 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.65 Typical High $1.20 | Professional | 53 · Discontinued | $0.59 | $0.65 | $1.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.45 Median $0.49 Typical High $0.89 | Professional | 55 · Aftercare only | $0.45 | $0.49 | $0.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.33 Typical High $0.60 | Professional | 56 · Pre-op care only | $0.30 | $0.33 | $0.60 |
Christus Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $3.24 Typical High $6.46 | Facility | None | $2.63 | $3.24 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $5.25 | Professional | None | $2.95 | $2.95 | $5.25 |
Lucent Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Moda Health Setting Facility Modifier None Typical Low $3.09 Median $4.90 Typical High $9.33 | Facility | None | $3.09 | $4.90 | $9.33 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1.86 Median $3.55 Typical High $13.49 | Facility | 52 · Reduced service | $1.86 | $3.55 | $13.49 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $0.76 Median $1.45 Typical High $5.37 | Facility | 53 · Discontinued | $0.76 | $1.45 | $5.37 |
Moda Health Setting Facility Modifier 55 · Aftercare only Typical Low $0.56 Median $1.07 Typical High $3.98 | Facility | 55 · Aftercare only | $0.56 | $1.07 | $3.98 |
Moda Health Setting Facility Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.71 Typical High $2.69 | Facility | 56 · Pre-op care only | $0.37 | $0.71 | $2.69 |
Moda Health Setting Professional Modifier None Typical Low $2.95 Median $3.09 Typical High $4.90 | Professional | None | $2.95 | $3.09 | $4.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1.48 Median $1.55 Typical High $2.40 | Professional | 52 · Reduced service | $1.48 | $1.55 | $2.40 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.62 Typical High $0.95 | Professional | 53 · Discontinued | $0.59 | $0.62 | $0.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.45 Median $0.47 Typical High $0.72 | Professional | 55 · Aftercare only | $0.45 | $0.47 | $0.72 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.31 Typical High $0.48 | Professional | 56 · Pre-op care only | $0.30 | $0.31 | $0.48 |
Molina Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.72 | Professional | None | $3.47 | $3.47 | $3.72 |
Providence Setting Facility Modifier None Typical Low $3.02 Median $4.79 Typical High $6.17 | Facility | None | $3.02 | $4.79 | $6.17 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.80 | Professional | None | $2.95 | $2.95 | $3.80 |
United Setting Facility Modifier None Typical Low $1.78 Median $2.09 Typical High $4.90 | Facility | None | $1.78 | $2.09 | $4.90 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $3.09 | Professional | None | $2.09 | $2.57 | $3.09 |
Wellpoint Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.57 | Professional | None | $2.45 | $2.45 | $2.57 |
Where Texas sits
The same service costs 3.6 times more in Mississippi than in Kentucky. 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· 44th of 51
$3.09
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.