How much rates vary
Facilitymedian $4 · 10th to 90th $2 to $7,413Professionalmedian $2 · 10th to 90th $2 to $4
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 $2.04 Median $2.04 Typical High $2.29 | Facility | None | $2.04 | $2.04 | $2.29 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.29 | Professional | None | $2.04 | $2.04 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.02 Median $1.02 Typical High $1.15 | Professional | 52 · Reduced service | $1.02 | $1.02 | $1.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.41 Typical High $0.46 | Professional | 53 · Discontinued | $0.41 | $0.41 | $0.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.31 Typical High $0.35 | Professional | 55 · Aftercare only | $0.31 | $0.31 | $0.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
CareFirst Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Facility | None | $2.34 | $2.34 | $2.34 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.75 Median $3.80 Typical High $5.37 | Professional | None | $2.75 | $3.80 | $5.37 |
Medcost Setting Facility Modifier None Typical Low $2.04 Median $3.47 Typical High $4.90 | Facility | None | $2.04 | $3.47 | $4.90 |
Medcost Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $2.19 | Professional | None | $1.82 | $1.82 | $2.19 |
Sentara Setting Facility Modifier None Typical Low $2.45 Median $4.37 Typical High $10,232.93 | Facility | None | $2.45 | $4.37 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $2.00 Median $2.57 Typical High $5.25 | Professional | None | $2.00 | $2.57 | $5.25 |
United Setting Professional Modifier None Typical Low $1.55 Median $1.74 Typical High $2.57 | Professional | None | $1.55 | $1.74 | $2.57 |
Where Virginia sits
The same service costs 2.3 times more in Hawaii 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.
Virginia· 41st of 51
$2.00
HI $3.89KY $1.66
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.