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 $61.66 Median $64.57 Typical High $64.57 | Facility | None | $61.66 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $83.18 | Professional | None | $57.54 | $61.66 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $30.20 Typical High $41.69 | Professional | 52 · Reduced service | $28.84 | $30.20 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.30 Typical High $16.60 | Professional | 53 · Discontinued | $11.48 | $12.30 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $9.12 Typical High $12.30 | Professional | 55 · Aftercare only | $8.71 | $9.12 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.17 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.75 | $6.17 | $8.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $125.89 Typical High $257.04 | Professional | None | $47.86 | $125.89 | $257.04 |
Blue Shield Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $263.03 | Professional | None | $154.88 | $263.03 | $263.03 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $204.17 | Professional | None | $165.96 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $234.42 Typical High $316.23 | Facility | None | $131.83 | $234.42 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $177.83 Median $199.53 Typical High $239.88 | Professional | None | $177.83 | $199.53 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $331.13 | Professional | None | $134.90 | $165.96 | $331.13 |
Lucent Health Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,079.46 | Professional | None | $6,025.60 | $6,025.60 | $7,079.46 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $186.21 Typical High $302.00 | Facility | None | $83.18 | $186.21 | $302.00 |
Providence Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | None | $125.89 | $125.89 | $208.93 |
Where California sits
The same service costs 26.9 times more in Kansas than in New York. 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· 15th of 51
$126
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.