How much rates vary
Facilitymedian $81 · 10th to 90th $69 to $117Professionalmedian $79 · 10th to 90th $35 to $562
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 $74.13 Median $79.43 Typical High $81.28 | Facility | None | $74.13 | $79.43 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $81.28 | Professional | None | $64.57 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $32.36 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $12.88 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.02 Typical High $12.30 | Professional | 55 · Aftercare only | $9.55 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.94 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.46 | $7.94 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Lucent Health Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $562.34 | Professional | None | $489.78 | $562.34 | $562.34 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $120.23 | Facility | None | $69.18 | $81.28 | $120.23 |
Moda Health Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $83.18 | Professional | None | $69.18 | $79.43 | $83.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $39.81 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $13.80 | $15.85 | $16.22 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.02 Typical High $12.30 | Professional | 55 · Aftercare only | $10.23 | $12.02 | $12.30 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.94 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.92 | $7.94 | $8.13 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $120.23 | Facility | None | $69.18 | $97.72 | $120.23 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Facility | None | $85.11 | $85.11 | $100.00 |
United Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $52.48 | Professional | None | $30.20 | $44.67 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $97.72 | Professional | None | $60.26 | $60.26 | $97.72 |
Where Texas sits
The same service costs 2.8 times more in Montana than in Alabama. 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· 8th of 51
$79.43
MT $100AL $36.31
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.