How much rates vary
Facilitymedian $14 · 10th to 90th $12 to $20Professionalmedian $13 · 10th to 90th $6 to $123
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 $12.88 Median $13.80 Typical High $13.80 | Facility | None | $12.88 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.88 Typical High $13.80 | Professional | None | $12.02 | $12.88 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $6.76 Typical High $6.92 | Professional | 52 · Reduced service | $5.89 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.69 Typical High $2.82 | Professional | 53 · Discontinued | $2.34 | $2.69 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $2.04 Typical High $2.09 | Professional | 55 · Aftercare only | $1.78 | $2.04 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.38 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.20 | $1.38 | $1.41 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Lucent Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | None | $83.18 | $83.18 | $123.03 |
Moda Health Setting Facility Modifier None Typical Low $11.75 Median $13.80 Typical High $20.42 | Facility | None | $11.75 | $13.80 | $20.42 |
Moda Health Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $13.80 | Professional | None | $12.59 | $12.88 | $13.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.03 | $6.92 | $6.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.75 Typical High $2.82 | Professional | 53 · Discontinued | $2.40 | $2.75 | $2.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.04 Typical High $2.09 | Professional | 55 · Aftercare only | $1.82 | $2.04 | $2.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.38 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.20 | $1.38 | $1.41 |
Oscar Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $16.60 Typical High $20.42 | Facility | None | $11.75 | $16.60 | $20.42 |
Providence Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $16.60 | Facility | None | $14.13 | $14.13 | $16.60 |
United Setting Professional Modifier None Typical Low $3.98 Median $7.76 Typical High $8.91 | Professional | None | $3.98 | $7.76 | $8.91 |
Wellpoint Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Where Texas sits
The same service costs 2.7 times more in Montana than in Utah. 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
$12.88
MT $16.22UT $6.03
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.