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 $19.95 Median $21.38 Typical High $21.88 | Facility | None | $19.95 | $21.38 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $21.88 | Professional | None | $19.50 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $10.72 Typical High $10.96 | Professional | 52 · Reduced service | $9.77 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $4.37 | Professional | 53 · Discontinued | $3.89 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $2.95 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $2.14 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.95 | $2.14 | $2.19 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Lucent Health Setting Professional Modifier None Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | None | $213.80 | $229.09 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $32.36 | Facility | None | $18.20 | $21.88 | $32.36 |
Moda Health Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $22.39 | Professional | None | $19.50 | $21.38 | $22.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $10.72 Typical High $10.96 | Professional | 52 · Reduced service | $9.77 | $10.72 | $10.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $4.37 | Professional | 53 · Discontinued | $3.89 | $4.27 | $4.37 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $2.95 | $3.24 | $3.24 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $2.14 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.95 | $2.14 | $2.19 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $12.30 | Professional | None | $11.22 | $12.30 | $12.30 |
Oscar Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Providence Setting Facility Modifier None Typical Low $18.20 Median $26.30 Typical High $32.36 | Facility | None | $18.20 | $26.30 | $32.36 |
Providence Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $31.62 | Facility | None | $26.92 | $26.92 | $31.62 |
United Setting Professional Modifier None Typical Low $9.77 Median $14.45 Typical High $16.60 | Professional | None | $9.77 | $14.45 | $16.60 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $31.62 | Professional | None | $26.30 | $31.62 | $31.62 |
Where Texas sits
The same service costs 4.6 times more in Hawaii than in Ohio. 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· 11th of 51
$21.38
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.