How much rates vary
Facilitymedian $1,023,293 · 10th to 90th $446,684 to $1,905,461Professionalmedian $776,247 · 10th to 90th $562,341 to $977,237
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 $562,341.33 Median $630,957.34 Typical High $1,230,268.77 | Facility | None | $562,341.33 | $630,957.34 | $1,230,268.77 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $281,838.29 Median $309,029.54 Typical High $616,595.00 | Facility | 52 · Reduced service | $281,838.29 | $309,029.54 | $616,595.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114,815.36 Median $125,892.54 Typical High $245,470.89 | Facility | 53 · Discontinued | $114,815.36 | $125,892.54 | $245,470.89 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $85,113.80 Median $93,325.43 Typical High $181,970.09 | Facility | 55 · Aftercare only | $85,113.80 | $93,325.43 | $181,970.09 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $63,095.73 Typical High $123,026.88 | Facility | 56 · Pre-op care only | $56,234.13 | $63,095.73 | $123,026.88 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $602,559.59 | Professional | None | $575,439.94 | $575,439.94 | $602,559.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $295,120.92 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $295,120.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $120,226.44 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $120,226.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $89,125.09 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $89,125.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $60,255.96 |
BCBS Texas Setting Facility Modifier None Typical Low $426,579.52 Median $1,096,478.20 Typical High $2,041,737.94 | Facility | None | $426,579.52 | $1,096,478.20 | $2,041,737.94 |
Cigna Setting Professional Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $602,559.59 | Professional | None | $549,540.87 | $549,540.87 | $602,559.59 |
Lucent Health Setting Professional Modifier None Typical Low $977,237.22 Median $977,237.22 Typical High $977,237.22 | Professional | None | $977,237.22 | $977,237.22 | $977,237.22 |
Moda Health Setting Facility Modifier None Typical Low $562,341.33 Median $676,082.98 Typical High $1,000,000.00 | Facility | None | $562,341.33 | $676,082.98 | $1,000,000.00 |
Moda Health Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $575,439.94 | Professional | None | $562,341.33 | $562,341.33 | $575,439.94 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $281,838.29 Typical High $288,403.15 | Professional | 52 · Reduced service | $281,838.29 | $281,838.29 | $288,403.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $112,201.85 Typical High $114,815.36 | Professional | 53 · Discontinued | $112,201.85 | $112,201.85 | $114,815.36 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $85,113.80 Typical High $87,096.36 | Professional | 55 · Aftercare only | $85,113.80 | $85,113.80 | $87,096.36 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $56,234.13 Typical High $57,543.99 | Professional | 56 · Pre-op care only | $56,234.13 | $56,234.13 | $57,543.99 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $537,031.80 Typical High $724,435.96 | Professional | None | $30.20 | $537,031.80 | $724,435.96 |
Oscar Health Setting Professional Modifier None Typical Low $602,559.59 Median $1,000,000.00 Typical High $2,089,296.13 | Professional | None | $602,559.59 | $1,000,000.00 | $2,089,296.13 |
Providence Setting Facility Modifier None Typical Low $575,439.94 Median $831,763.77 Typical High $851,138.04 | Facility | None | $575,439.94 | $831,763.77 | $851,138.04 |
Providence Setting Professional Modifier None Typical Low $512,861.38 Median $645,654.23 Typical High $912,010.84 | Professional | None | $512,861.38 | $645,654.23 | $912,010.84 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $691,830.97 | Professional | None | $562,341.33 | $562,341.33 | $691,830.97 |
Wellpoint Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $776,247.12 | Professional | None | $575,439.94 | $575,439.94 | $776,247.12 |
Where Texas sits
The same service costs 1.7 times more in Texas than in Minnesota. 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
$977,237
TX $977,237MN $562,341
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.