How much rates vary
Facilitymedian $36 · 10th to 90th $23 to $76Professionalmedian $26 · 10th to 90th $19 to $91
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 $22.91 Median $30.90 Typical High $79.43 | Facility | None | $22.91 | $30.90 | $79.43 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $11.48 Median $12.88 Typical High $39.81 | Facility | 52 · Reduced service | $11.48 | $12.88 | $39.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $5.25 Typical High $15.85 | Facility | 53 · Discontinued | $4.57 | $5.25 | $15.85 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $3.47 Median $3.89 Typical High $11.75 | Facility | 55 · Aftercare only | $3.47 | $3.89 | $11.75 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.57 Typical High $7.94 | Facility | 56 · Pre-op care only | $2.29 | $2.57 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $54.95 Typical High $61.66 | Professional | None | $22.91 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $26.92 Typical High $28.18 | Professional | 52 · Reduced service | $11.48 | $26.92 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $10.72 Typical High $11.48 | Professional | 53 · Discontinued | $4.57 | $10.72 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $7.94 Typical High $8.51 | Professional | 55 · Aftercare only | $3.47 | $7.94 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $5.50 Typical High $5.62 | Professional | 56 · Pre-op care only | $2.29 | $5.50 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $26.30 | Professional | None | $17.38 | $22.91 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $22.39 Typical High $35.48 | Facility | None | $19.05 | $22.39 | $35.48 |
CareSource Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $35.48 | Professional | None | $22.39 | $27.54 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $54.95 Typical High $302.00 | Professional | None | $22.91 | $54.95 | $302.00 |
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 $22.91 Median $57.54 Typical High $97.72 | Professional | None | $22.91 | $57.54 | $97.72 |
Where Kentucky sits
The same service costs 4.4 times more in North Dakota 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.
Kentucky· 51st of 51
$25.70
ND $112KY $25.70
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.