How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.65 Median $0.98 Typical High $1.35 | Facility | None | $0.65 | $0.98 | $1.35 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.32 Median $0.49 Typical High $0.68 | Facility | 52 · Reduced service | $0.32 | $0.49 | $0.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.13 Median $0.20 Typical High $0.27 | Facility | 53 · Discontinued | $0.13 | $0.20 | $0.27 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $0.10 Median $0.15 Typical High $0.20 | Facility | 55 · Aftercare only | $0.10 | $0.15 | $0.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.10 Typical High $0.13 | Facility | 56 · Pre-op care only | $0.06 | $0.10 | $0.13 |
Aetna Setting Professional Modifier None Typical Low $0.62 Median $0.65 Typical High $0.74 | Professional | None | $0.62 | $0.65 | $0.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.31 Median $0.32 Typical High $0.37 | Professional | 52 · Reduced service | $0.31 | $0.32 | $0.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.13 Typical High $0.15 | Professional | 53 · Discontinued | $0.12 | $0.13 | $0.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.10 Typical High $0.11 | Professional | 55 · Aftercare only | $0.09 | $0.10 | $0.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.08 |
BCBS Texas Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
Cigna Setting Facility Modifier None Typical Low $0.66 Median $1.00 Typical High $2.09 | Facility | None | $0.66 | $1.00 | $2.09 |
Cigna Setting Professional Modifier None Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | None | $0.66 | $0.66 | $0.66 |
Moda Health Setting Facility Modifier None Typical Low $0.65 Median $0.78 Typical High $1.48 | Facility | None | $0.65 | $0.78 | $1.48 |
Moda Health Setting Professional Modifier None Typical Low $0.62 Median $0.65 Typical High $0.65 | Professional | None | $0.62 | $0.65 | $0.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.31 Median $0.32 Typical High $0.32 | Professional | 52 · Reduced service | $0.31 | $0.32 | $0.32 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.13 Typical High $0.13 | Professional | 53 · Discontinued | $0.12 | $0.13 | $0.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.10 Typical High $0.10 | Professional | 55 · Aftercare only | $0.09 | $0.10 | $0.10 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
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 $0.66 Median $0.79 Typical High $5.62 | Facility | None | $0.66 | $0.79 | $5.62 |
Providence Setting Professional Modifier None Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | None | $0.66 | $0.66 | $0.66 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
United Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Wellpoint Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | None | $0.65 | $0.65 | $0.65 |
Where Texas sits
The same service costs 1.7 times more in South Carolina 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· 43rd of 51
$0.66
SC $1.10HI $0.63
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.