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 $74.13 Median $79.43 Typical High $81.28 | Facility | None | $74.13 | $79.43 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $81.28 | Professional | None | $67.61 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $33.88 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $13.49 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.02 Typical High $12.30 | Professional | 55 · Aftercare only | $10.00 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.94 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.76 | $7.94 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Lucent Health Setting Professional Modifier None Typical Low $501.19 Median $776.25 Typical High $776.25 | Professional | None | $501.19 | $776.25 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $67.61 Median $81.28 Typical High $120.23 | Facility | None | $67.61 | $81.28 | $120.23 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $81.28 | Professional | None | $70.79 | $79.43 | $81.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $35.48 | $39.81 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $14.13 | $15.85 | $16.22 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $12.02 Typical High $12.30 | Professional | 55 · Aftercare only | $10.72 | $12.02 | $12.30 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.94 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.08 | $7.94 | $8.13 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $45.71 | Professional | None | $41.69 | $45.71 | $45.71 |
Oscar Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $97.72 Typical High $120.23 | Facility | None | $67.61 | $97.72 | $120.23 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Facility | None | $89.13 | $89.13 | $104.71 |
United Setting Professional Modifier None Typical Low $32.36 Median $47.86 Typical High $54.95 | Professional | None | $32.36 | $47.86 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | None | $97.72 | $104.71 | $104.71 |
Where Texas sits
The same service costs 3.0 times more in Hawaii than in Indiana. 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
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.