How much rates vary
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 $79.43 Median $91.20 Typical High $109.65 | Facility | None | $79.43 | $91.20 | $109.65 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $39.81 Median $45.71 Typical High $54.95 | Facility | 52 · Reduced service | $39.81 | $45.71 | $54.95 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $13.49 Typical High $16.60 | Facility | 55 · Aftercare only | $11.75 | $13.49 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $9.12 Typical High $10.96 | Facility | 56 · Pre-op care only | $7.94 | $9.12 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $102.33 | Professional | None | $74.13 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $42.66 Typical High $51.29 | Professional | 52 · Reduced service | $37.15 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.88 Typical High $15.49 | Professional | 55 · Aftercare only | $11.22 | $12.88 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.51 Typical High $10.23 | Professional | 56 · Pre-op care only | $7.41 | $8.51 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.40 Median $3.09 Typical High $12.59 | Facility | None | $2.40 | $3.09 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $154.88 Typical High $407.38 | Professional | None | $81.28 | $154.88 | $407.38 |
Blue Shield Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $162.18 | Professional | None | $85.11 | $114.82 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $173.78 | Professional | None | $85.11 | $104.71 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $831.76 | Professional | None | $407.38 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $128.82 Typical High $173.78 | Facility | None | $83.18 | $128.82 | $173.78 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $177.83 | Professional | None | $83.18 | $104.71 | $177.83 |
United Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $229.09 | Professional | None | $70.79 | $97.72 | $229.09 |
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· 27th of 51
$93.33
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.