How much rates vary
Facilitymedian $110 · 10th to 90th $83 to $138Professionalmedian $105 · 10th to 90th $79 to $138
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 $83.18 Median $104.71 Typical High $138.04 | Facility | None | $83.18 | $104.71 | $138.04 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $41.69 Median $51.29 Typical High $67.61 | Facility | 52 · Reduced service | $41.69 | $51.29 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $20.89 Typical High $27.54 | Facility | 53 · Discontinued | $16.60 | $20.89 | $27.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.59 Median $15.49 Typical High $20.42 | Facility | 55 · Aftercare only | $12.59 | $15.49 | $20.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.47 Typical High $13.80 | Facility | 56 · Pre-op care only | $8.32 | $10.47 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $138.04 | Professional | None | $79.43 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $52.48 Typical High $67.61 | Professional | 52 · Reduced service | $39.81 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $20.89 Typical High $27.54 | Professional | 53 · Discontinued | $15.85 | $20.89 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $15.85 Typical High $20.42 | Professional | 55 · Aftercare only | $12.02 | $15.85 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.47 Typical High $13.80 | Professional | 56 · Pre-op care only | $7.94 | $10.47 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $120.23 | Professional | None | $91.20 | $109.65 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $87.10 Typical High $138.04 | Facility | None | $72.44 | $87.10 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $169.82 | Professional | None | $93.33 | $120.23 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $575.44 | Professional | None | $83.18 | $117.49 | $575.44 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $131.83 | Professional | None | $79.43 | $100.00 | $131.83 |
Where Kentucky sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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.
Kentucky· 41st of 51
$105
AK $331NJ $81.28
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.