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 $1,348.96 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,348.96 | $1,445.44 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,513.56 | Professional | None | $1,318.26 | $1,445.44 | $1,513.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $724.44 Typical High $758.58 | Professional | 52 · Reduced service | $660.69 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $288.40 Typical High $302.00 | Professional | 53 · Discontinued | $263.03 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $218.78 Typical High $229.09 | Professional | 55 · Aftercare only | $199.53 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $144.54 Typical High $151.36 | Professional | 56 · Pre-op care only | $131.83 | $144.54 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $10,471.29 Median $14,454.40 Typical High $14,454.40 | Professional | None | $10,471.29 | $14,454.40 | $14,454.40 |
Moda Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $2,187.76 | Facility | None | $1,230.27 | $1,479.11 | $2,187.76 |
Moda Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,513.56 | Professional | None | $1,318.26 | $1,445.44 | $1,513.56 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $724.44 Typical High $758.58 | Professional | 52 · Reduced service | $660.69 | $724.44 | $758.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $288.40 Typical High $302.00 | Professional | 53 · Discontinued | $263.03 | $288.40 | $302.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $218.78 Typical High $229.09 | Professional | 55 · Aftercare only | $199.53 | $218.78 | $229.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $144.54 Typical High $151.36 | Professional | 56 · Pre-op care only | $131.83 | $144.54 | $151.36 |
Molina Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Providence Setting Facility Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $2,187.76 | Facility | None | $1,230.27 | $1,778.28 | $2,187.76 |
Providence Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,089.30 | Facility | None | $1,778.28 | $1,778.28 | $2,089.30 |
United Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,096.48 | Professional | None | $645.65 | $954.99 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,778.28 | $2,290.87 | $2,290.87 |
Where Texas sits
The same service costs 2.7 times more in Montana than in New Jersey. 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· 16th of 51
$1,445
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.