How much rates vary
Facilitymedian $5,623 · 10th to 90th $851 to $18,621Professionalmedian $912 · 10th to 90th $676 to $1,738
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $851.14 Median $5,011.87 Typical High $14,125.38 | Facility | Global | $851.14 | $5,011.87 | $14,125.38 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $407.38 Median $426.58 Typical High $660.69 | Facility | 52 · Reduced service | $407.38 | $426.58 | $660.69 |
Anthem BCBS Setting Facility Modifier Global Typical Low $8,709.64 Median $16,595.87 Typical High $22,908.68 | Facility | Global | $8,709.64 | $16,595.87 | $22,908.68 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $676.08 Median $812.83 Typical High $2,137.96 | Professional | Global | $676.08 | $812.83 | $2,137.96 |
Medcost Setting Professional Modifier Global Typical Low $912.01 Median $1,148.15 Typical High $1,737.80 | Professional | Global | $912.01 | $1,148.15 | $1,737.80 |
Medcost Setting Facility Modifier Global Typical Low $741.31 Median $1,023.29 Typical High $1,548.82 | Facility | Global | $741.31 | $1,023.29 | $1,548.82 |
Sentara Setting Facility Modifier Global Typical Low $676.08 Median $1,000.00 Typical High $5,623.41 | Facility | Global | $676.08 | $1,000.00 | $5,623.41 |
United Setting Facility Modifier Global Typical Low $1,584.89 Median $3,388.44 Typical High $7,079.46 | Facility | Global | $1,584.89 | $3,388.44 | $7,079.46 |
Where Virginia sits
The same service costs 26.9 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.
Virginia $5,370 · 15th of 50
ME $19,498WV $724
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.