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 $354.81 Median $380.19 Typical High $389.05 | Facility | None | $354.81 | $380.19 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $407.38 | Professional | None | $346.74 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $190.55 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $75.86 Typical High $81.28 | Professional | 53 · Discontinued | $70.79 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $57.54 Typical High $60.26 | Professional | 55 · Aftercare only | $52.48 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.02 Typical High $40.74 | Professional | 56 · Pre-op care only | $35.48 | $38.02 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,019.95 | $3,388.44 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $389.05 Typical High $575.44 | Facility | None | $331.13 | $389.05 | $575.44 |
Moda Health Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $407.38 | Professional | None | $346.74 | $380.19 | $407.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $190.55 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $190.55 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $75.86 Typical High $81.28 | Professional | 53 · Discontinued | $70.79 | $75.86 | $81.28 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $57.54 Typical High $60.26 | Professional | 55 · Aftercare only | $52.48 | $57.54 | $60.26 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.02 Typical High $40.74 | Professional | 56 · Pre-op care only | $35.48 | $38.02 | $40.74 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $467.74 Typical High $575.44 | Facility | None | $331.13 | $467.74 | $575.44 |
Providence Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $602.56 | Facility | None | $512.86 | $512.86 | $602.56 |
United Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $316.23 | Professional | None | $186.21 | $275.42 | $316.23 |
Wellpoint Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $467.74 | Professional | None | $363.08 | $363.08 | $467.74 |
Where Texas sits
The same service costs 2.8 times more in Montana than in Florida. 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· 21st of 51
$380
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.