How much rates vary
Facilitymedian $158 · 10th to 90th $93 to $7,413Professionalmedian $126 · 10th to 90th $93 to $138
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 $93.33 Median $93.33 Typical High $107.15 | Facility | None | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | None | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $18.62 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $15.85 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $194.98 | Professional | None | $120.23 | $151.36 | $194.98 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $144.54 | Facility | None | $93.33 | $93.33 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Sentara Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $10,232.93 | Facility | None | $112.20 | $173.78 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $234.42 | Professional | None | $87.10 | $125.89 | $234.42 |
Where Virginia 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.
Virginia· 15th of 51
$126
ND $251KS $3.02
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.