How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $245.47 Typical High $245.47 | Professional | None | $16.98 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $8.51 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $3.39 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $2.51 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $1.70 | $24.55 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $4,786.30 Typical High $6,606.93 | Facility | None | $3,235.94 | $4,786.30 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $61.66 Typical High $213.80 | Professional | None | $16.22 | $61.66 | $213.80 |
Blue Shield Setting Facility Modifier None Typical Low $66.07 Median $870.96 Typical High $1,905.46 | Facility | None | $66.07 | $870.96 | $1,905.46 |
Blue Shield Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $117.49 | Professional | None | $63.10 | $89.13 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $588.84 | Facility | None | $162.18 | $199.53 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $40.74 Typical High $199.53 | Professional | None | $35.48 | $40.74 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $144.54 | Professional | None | $69.18 | $83.18 | $144.54 |
Lucent Health Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $380.19 | Professional | None | $204.17 | $213.80 | $380.19 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $245.47 Typical High $346.74 | Facility | None | $85.11 | $245.47 | $346.74 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $89.13 | Professional | None | $35.48 | $54.95 | $89.13 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,584.89 Typical High $6,918.31 | Facility | None | $575.44 | $1,584.89 | $6,918.31 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $35.48 | Professional | None | $12.02 | $15.49 | $35.48 |
Where California sits
The same service costs 19.1 times more in Indiana than in Delaware. 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.
California· 5th of 51
$182
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.