How much rates vary
Facilitymedian $95 · 10th to 90th $39 to $331Professionalmedian $42 · 10th to 90th $32 to $155
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 $38.02 Median $41.69 Typical High $46.77 | Facility | None | $38.02 | $41.69 | $46.77 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $18.62 Median $20.89 Typical High $23.44 | Facility | 52 · Reduced service | $18.62 | $20.89 | $23.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $8.32 Typical High $9.33 | Facility | 53 · Discontinued | $7.59 | $8.32 | $9.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.62 Median $6.31 Typical High $7.08 | Facility | 55 · Aftercare only | $5.62 | $6.31 | $7.08 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.17 Typical High $4.68 | Facility | 56 · Pre-op care only | $3.80 | $4.17 | $4.68 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $53.70 | Professional | None | $38.02 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $20.89 Typical High $23.44 | Professional | 52 · Reduced service | $18.62 | $20.89 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.32 Typical High $9.33 | Professional | 53 · Discontinued | $7.59 | $8.32 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $6.31 Typical High $7.08 | Professional | 55 · Aftercare only | $5.62 | $6.31 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.17 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.80 | $4.17 | $4.68 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $39.81 Typical High $40.74 | Professional | None | $38.90 | $39.81 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $48.98 Typical High $199.53 | Facility | None | $38.90 | $48.98 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $173.78 | Professional | None | $38.02 | $45.71 | $173.78 |
Blue Shield Setting Facility Modifier None Typical Low $79.43 Median $239.88 Typical High $389.05 | Facility | None | $79.43 | $239.88 | $389.05 |
Blue Shield Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $42.66 | Professional | None | $26.30 | $37.15 | $42.66 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $60.26 | Professional | None | $31.62 | $38.90 | $60.26 |
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 $31.62 Median $38.02 Typical High $51.29 | Professional | None | $31.62 | $38.02 | $51.29 |
Contra Costa Health Setting Professional Modifier None Typical Low $20.42 Median $32.36 Typical High $58.88 | Professional | None | $20.42 | $32.36 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $58.88 | Professional | None | $28.18 | $40.74 | $58.88 |
Lucent Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $363.08 | Professional | None | $288.40 | $288.40 | $363.08 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $61.66 | Professional | None | $37.15 | $37.15 | $61.66 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $104.71 | Facility | None | $38.02 | $58.88 | $104.71 |
Providence Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $50.12 | Professional | None | $31.62 | $38.02 | $50.12 |
Sutter Health Plus Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $154.88 | Professional | None | $125.89 | $125.89 | $154.88 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $549.54 | Facility | None | $354.81 | $354.81 | $549.54 |
United Setting Professional Modifier None Typical Low $29.51 Median $38.02 Typical High $56.23 | Professional | None | $29.51 | $38.02 | $56.23 |
Where California sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 35th of 51
$41.69
AK $100KY $34.67
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.