How much rates vary
Facilitymedian $17 · 10th to 90th $13 to $54Professionalmedian $13 · 10th to 90th $11 to $60
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 $11.75 Median $12.88 Typical High $12.88 | Facility | None | $11.75 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $16.60 | Professional | None | $11.22 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.75 Typical High $6.46 | Professional | 52 · Reduced service | $5.62 | $5.75 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.34 Typical High $2.57 | Professional | 53 · Discontinued | $2.24 | $2.34 | $2.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $1.74 Typical High $1.95 | Professional | 55 · Aftercare only | $1.70 | $1.74 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.15 Typical High $1.29 | Professional | 56 · Pre-op care only | $1.12 | $1.15 | $1.29 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $14.45 | Professional | None | $10.96 | $10.96 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $17.78 Typical High $74.13 | Facility | None | $14.13 | $17.78 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $37.15 | Professional | None | $10.72 | $14.45 | $37.15 |
Blue Shield Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $17.38 | Professional | None | $9.33 | $12.59 | $17.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $15.85 | Professional | None | $11.48 | $14.79 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $28.18 | Professional | None | $12.02 | $13.80 | $28.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $8.71 Median $14.13 Typical High $15.85 | Professional | None | $8.71 | $14.13 | $15.85 |
HealthNet Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $15.49 | Professional | None | $9.12 | $10.96 | $15.49 |
Lucent Health Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $97.72 | Professional | None | $70.79 | $97.72 | $97.72 |
Molina Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $16.60 Typical High $21.88 | Facility | None | $11.75 | $16.60 | $21.88 |
Providence Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $33.88 | Professional | None | $11.75 | $13.80 | $33.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $30.90 | Professional | None | $8.91 | $12.30 | $30.90 |
Where California sits
The same service costs 2.6 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· 18th of 51
$13.49
AK $25.12KY $9.77
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.