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 $26.30 Median $28.18 Typical High $28.84 | Facility | None | $26.30 | $28.18 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $28.84 | Professional | None | $21.88 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $10.96 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.62 Typical High $5.75 | Professional | 53 · Discontinued | $4.37 | $5.62 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $4.17 Typical High $4.27 | Professional | 55 · Aftercare only | $3.24 | $4.17 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.82 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.19 | $2.82 | $2.88 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Lucent Health Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $194.98 | Professional | None | $169.82 | $194.98 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $23.99 Median $28.84 Typical High $42.66 | Facility | None | $23.99 | $28.84 | $42.66 |
Moda Health Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $28.84 | Professional | None | $23.99 | $28.18 | $28.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $12.02 | $14.13 | $14.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.62 Typical High $5.75 | Professional | 53 · Discontinued | $4.79 | $5.62 | $5.75 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $4.17 Typical High $4.27 | Professional | 55 · Aftercare only | $3.63 | $4.17 | $4.27 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.82 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.40 | $2.82 | $2.88 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | None | $22.39 | $24.55 | $24.55 |
Oscar Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $34.67 Typical High $42.66 | Facility | None | $23.99 | $34.67 | $42.66 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Facility | None | $29.51 | $29.51 | $34.67 |
United Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $18.20 | Professional | None | $10.47 | $15.49 | $18.20 |
Wellpoint Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Where Texas sits
The same service costs 3.5 times more in Hawaii than in New York. 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· 6th of 51
$28.18
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.