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 $69.18 Median $74.13 Typical High $75.86 | Facility | None | $69.18 | $74.13 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $75.86 | Professional | None | $67.61 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $34.67 Typical High $38.02 | Professional | 52 · Reduced service | $33.11 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.80 Typical High $15.14 | Professional | 53 · Discontinued | $13.49 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.47 Typical High $11.22 | Professional | 55 · Aftercare only | $10.00 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.92 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.76 | $6.92 | $7.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $257.04 | Professional | None | $120.23 | $147.91 | $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 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
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 $660.69 Median $660.69 Typical High $1,096.48 | Professional | None | $660.69 | $660.69 | $1,096.48 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $151.36 Typical High $190.55 | Facility | None | $69.18 | $151.36 | $190.55 |
Providence Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $251.19 | Professional | None | $165.96 | $173.78 | $251.19 |
Where California sits
The same service costs 83.2 times more in North Dakota than in Kansas. 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· 38th of 51
$102
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.