How much rates vary
Facilitymedian $954,993 · 10th to 90th $398,107 to $1,778,279Professionalmedian $1,000,000 · 10th to 90th $489,779 to $1,000,000
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 $512,861.38 Median $512,861.38 Typical High $1,174,897.55 | Facility | None | $512,861.38 | $512,861.38 | $1,174,897.55 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $524,807.46 | Professional | None | $512,861.38 | $512,861.38 | $524,807.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $257,039.58 Typical High $263,026.80 | Professional | 52 · Reduced service | $257,039.58 | $257,039.58 | $263,026.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $102,329.30 Typical High $104,712.85 | Professional | 53 · Discontinued | $102,329.30 | $102,329.30 | $104,712.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $75,857.76 Typical High $79,432.82 | Professional | 55 · Aftercare only | $75,857.76 | $75,857.76 | $79,432.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $51,286.14 Typical High $52,480.75 | Professional | 56 · Pre-op care only | $51,286.14 | $51,286.14 | $52,480.75 |
BCBS Texas Setting Facility Modifier None Typical Low $389,045.14 Median $1,000,000.00 Typical High $1,862,087.14 | Facility | None | $389,045.14 | $1,000,000.00 | $1,862,087.14 |
Cigna Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $537,031.80 | Professional | None | $489,778.82 | $489,778.82 | $537,031.80 |
Lucent Health Setting Professional Modifier None Typical Low $1,000,000.00 Median $1,000,000.00 Typical High $1,000,000.00 | Professional | None | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |
Moda Health Setting Facility Modifier None Typical Low $489,778.82 Median $691,830.97 Typical High $1,174,897.55 | Facility | None | $489,778.82 | $691,830.97 | $1,174,897.55 |
Moda Health Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $501,187.23 | Professional | None | $489,778.82 | $489,778.82 | $501,187.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $245,470.89 Median $245,470.89 Typical High $251,188.64 | Professional | 52 · Reduced service | $245,470.89 | $245,470.89 | $251,188.64 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $97,723.72 Median $97,723.72 Typical High $100,000.00 | Professional | 53 · Discontinued | $97,723.72 | $97,723.72 | $100,000.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $74,131.02 Median $74,131.02 Typical High $75,857.76 | Professional | 55 · Aftercare only | $74,131.02 | $74,131.02 | $75,857.76 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $48,977.88 Median $48,977.88 Typical High $50,118.72 | Professional | 56 · Pre-op care only | $48,977.88 | $48,977.88 | $50,118.72 |
Molina Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $562,341.33 | Professional | None | $489,778.82 | $489,778.82 | $562,341.33 |
Oscar Health Setting Professional Modifier None Typical Low $524,807.46 Median $870,963.59 Typical High $1,819,700.86 | Professional | None | $524,807.46 | $870,963.59 | $1,819,700.86 |
Providence Setting Facility Modifier None Typical Low $512,861.38 Median $724,435.96 Typical High $758,577.58 | Facility | None | $512,861.38 | $724,435.96 | $758,577.58 |
Providence Setting Professional Modifier None Typical Low $467,735.14 Median $616,595.00 Typical High $851,138.04 | Professional | None | $467,735.14 | $616,595.00 | $851,138.04 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $1,000,000.00 | Professional | None | $489,778.82 | $489,778.82 | $1,000,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $691,830.97 | Professional | None | $512,861.38 | $512,861.38 | $691,830.97 |
Where Texas sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 1st of 51
$1,000,000
TX $1,000,000NJ $489,779
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.