How much rates vary
Facilitymedian $62 · 10th to 90th $36 to $263Professionalmedian $36 · 10th to 90th $24 to $117
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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $36.31 | Professional | None | $26.30 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $13.49 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $5.37 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $5.50 Typical High $5.50 | Professional | 55 · Aftercare only | $4.07 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $2.69 | $3.63 | $3.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $128.82 | Professional | None | $28.18 | $30.90 | $128.82 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $173.78 Typical High $331.13 | Facility | None | $56.23 | $173.78 | $331.13 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $29.51 | Professional | None | $19.05 | $20.89 | $29.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | None | $630.96 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Optum Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | None | $23.99 | $23.99 | $26.30 |
Providence Setting Facility Modifier None Typical Low $26.92 Median $36.31 Typical High $52.48 | Facility | None | $26.92 | $36.31 | $52.48 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $28.84 | Professional | None | $19.05 | $21.38 | $28.84 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $95.50 | Facility | None | $61.66 | $61.66 | $95.50 |
United Setting Professional Modifier None Typical Low $5.01 Median $23.99 Typical High $23.99 | Professional | None | $5.01 | $23.99 | $23.99 |
Where California sits
The same service costs 11.7 times more in New York than in North Carolina. 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· 6th of 51
$36.31
NY $64.57NC $5.50
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.