How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $100.00 Median $104.71 Typical High $107.15 | Facility | None | $100.00 | $104.71 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $107.15 | Professional | None | $97.72 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $15.85 Typical High $16.60 | Professional | 55 · Aftercare only | $13.80 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $10.47 Typical High $10.96 | Professional | 56 · Pre-op care only | $9.12 | $10.47 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Lucent Health Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,023.29 | Professional | None | $724.44 | $1,023.29 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $107.15 Typical High $158.49 | Facility | None | $91.20 | $107.15 | $158.49 |
Moda Health Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $107.15 | Professional | None | $97.72 | $100.00 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $52.48 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.89 Typical High $22.39 | Professional | 53 · Discontinued | $19.50 | $20.89 | $22.39 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $15.85 Typical High $16.60 | Professional | 55 · Aftercare only | $14.45 | $15.85 | $16.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.47 Typical High $11.22 | Professional | 56 · Pre-op care only | $9.77 | $10.47 | $11.22 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | None | $54.95 | $60.26 | $60.26 |
Oscar Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $158.49 | Facility | None | $91.20 | $128.82 | $158.49 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $147.91 | Facility | None | $123.03 | $123.03 | $147.91 |
United Setting Professional Modifier None Typical Low $44.67 Median $66.07 Typical High $77.62 | Professional | None | $44.67 | $66.07 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $147.91 | Professional | None | $128.82 | $147.91 | $147.91 |
Where Texas sits
The same service costs 3.2 times more in Hawaii than in Arizona. 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
$105
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.