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 $74.13 Median $114.82 Typical High $158.49 | Facility | None | $74.13 | $114.82 | $158.49 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $37.15 Median $57.54 Typical High $77.62 | Facility | 52 · Reduced service | $37.15 | $57.54 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $22.91 Typical High $31.62 | Facility | 53 · Discontinued | $14.79 | $22.91 | $31.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.22 Median $17.38 Typical High $23.44 | Facility | 55 · Aftercare only | $11.22 | $17.38 | $23.44 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.41 Median $11.48 Typical High $15.85 | Facility | 56 · Pre-op care only | $7.41 | $11.48 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $87.10 | Professional | None | $72.44 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $37.15 Typical High $42.66 | Professional | 52 · Reduced service | $36.31 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.79 Typical High $17.38 | Professional | 53 · Discontinued | $14.45 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.22 Typical High $12.88 | Professional | 55 · Aftercare only | $10.96 | $11.22 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.41 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.24 | $7.41 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $114.82 Typical High $245.47 | Facility | None | $77.62 | $114.82 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $56.23 Median $89.13 Typical High $173.78 | Facility | None | $56.23 | $89.13 | $173.78 |
Moda Health Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $77.62 | Professional | None | $72.44 | $74.13 | $77.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $36.31 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.45 | $14.79 | $14.79 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $10.96 | $11.22 | $11.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.41 Typical High $7.41 | Professional | 56 · Pre-op care only | $7.24 | $7.41 | $7.41 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | None | $33.88 | $36.31 | $36.31 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $93.33 Typical High $660.69 | Facility | None | $57.54 | $93.33 | $660.69 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Where Texas sits
The same service costs 25.1 times more in Alabama than in Nebraska. 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· 27th of 51
$75.86
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.