How much rates vary
Facilitymedian $257 · 10th to 90th $91 to $537Professionalmedian $60 · 10th to 90th $1 to $141
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 $0.81 Median $0.83 Typical High $0.83 | Facility | None | $0.81 | $0.83 | $0.83 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $0.83 Typical High $0.85 | Professional | None | $0.81 | $0.83 | $0.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.41 Median $0.42 Typical High $0.43 | Professional | 52 · Reduced service | $0.41 | $0.42 | $0.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.17 Typical High $0.17 | Professional | 53 · Discontinued | $0.16 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.12 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.09 |
BCBS Texas Setting Facility Modifier None Typical Low $107.15 Median $275.42 Typical High $537.03 | Facility | None | $107.15 | $275.42 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | None | $53.70 | $56.23 | $56.23 |
Lucent Health Setting Professional Modifier None Typical Low $60.26 Median $141.25 Typical High $141.25 | Professional | None | $60.26 | $141.25 | $141.25 |
Moda Health Setting Facility Modifier None Typical Low $0.81 Median $0.83 Typical High $1.20 | Facility | None | $0.81 | $0.83 | $1.20 |
Moda Health Setting Professional Modifier None Typical Low $0.81 Median $0.83 Typical High $0.83 | Professional | None | $0.81 | $0.83 | $0.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.41 Median $0.42 Typical High $0.42 | Professional | 52 · Reduced service | $0.41 | $0.42 | $0.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.17 Typical High $0.17 | Professional | 53 · Discontinued | $0.16 | $0.17 | $0.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.12 | $0.13 | $0.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $74.13 | Professional | None | $44.67 | $64.57 | $74.13 |
Providence Setting Facility Modifier None Typical Low $0.81 Median $1.17 Typical High $1.38 | Facility | None | $0.81 | $1.17 | $1.38 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $79.43 | Professional | None | $53.70 | $60.26 | $79.43 |
United Setting Facility Modifier None Typical Low $83.18 Median $87.10 Typical High $114.82 | Facility | None | $83.18 | $87.10 | $114.82 |
United Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | None | $1.70 | $1.70 | $1.70 |
Wellpoint Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Where Texas sits
The same service costs 173.8 times more in Missouri than in Illinois. 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
$60.26
MO $141IL $0.81
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.