How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $10,233Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.35 Median $0.36 Typical High $0.65 | Facility | None | $0.35 | $0.36 | $0.65 |
Aetna Setting Professional Modifier None Typical Low $0.35 Median $0.36 Typical High $0.36 | Professional | None | $0.35 | $0.36 | $0.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 52 · Reduced service | $0.18 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.28 Median $0.34 Typical High $1.10 | Professional | None | $0.28 | $0.34 | $1.10 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $66.07 Typical High $154.88 | Facility | None | $53.70 | $66.07 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $0.33 Median $0.37 Typical High $0.49 | Professional | None | $0.33 | $0.37 | $0.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.33 Median $0.39 Typical High $0.49 | Professional | None | $0.33 | $0.39 | $0.49 |
Medcost Setting Facility Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Facility | None | $0.55 | $0.55 | $0.55 |
Medcost Setting Professional Modifier None Typical Low $0.25 Median $0.41 Typical High $0.41 | Professional | None | $0.25 | $0.41 | $0.41 |
Sentara Setting Facility Modifier None Typical Low $0.39 Median $0.68 Typical High $10,232.93 | Facility | None | $0.39 | $0.68 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $0.34 Median $0.42 Typical High $0.69 | Professional | None | $0.34 | $0.42 | $0.69 |
United Setting Facility Modifier None Typical Low $89.13 Median $97.72 Typical High $218.78 | Facility | None | $89.13 | $97.72 | $218.78 |
United Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Where Virginia sits
The same service costs 645.7 times more in Oklahoma than in Florida. 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.
Virginia· 40th of 51
$0.36
OK $166FL $0.26
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.