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 $380.19 | Facility | None | $354.81 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $398.11 | Professional | None | $323.59 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $162.18 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $75.86 Typical High $79.43 | Professional | 53 · Discontinued | $64.57 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $56.23 Typical High $58.88 | Professional | 55 · Aftercare only | $48.98 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $38.02 Typical High $39.81 | Professional | 56 · Pre-op care only | $32.36 | $38.02 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Lucent Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,454.71 | $2,818.38 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $380.19 Typical High $562.34 | Facility | None | $323.59 | $380.19 | $562.34 |
Moda Health Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $398.11 | Professional | None | $346.74 | $380.19 | $398.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $186.21 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $75.86 Typical High $79.43 | Professional | 53 · Discontinued | $69.18 | $75.86 | $79.43 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $58.88 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $58.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $38.02 Typical High $39.81 | Professional | 56 · Pre-op care only | $34.67 | $38.02 | $39.81 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $562.34 | Facility | None | $323.59 | $457.09 | $562.34 |
Providence Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $501.19 | Facility | None | $426.58 | $426.58 | $501.19 |
United Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $263.03 | Professional | None | $151.36 | $223.87 | $263.03 |
Wellpoint Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $457.09 | Professional | None | $302.00 | $302.00 | $457.09 |
Where Texas sits
The same service costs 4.4 times more in Hawaii 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· 12th 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.