How much rates vary
Facilitymedian $85 · 10th to 90th $2 to $295Professionalmedian $93 · 10th to 90th $2 to $93
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 $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 55 · Aftercare only | $0.30 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $380.19 | Facility | None | $72.44 | $91.20 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $97.72 Typical High $97.72 | Professional | None | $45.71 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | UE · Used equipment | $74.13 | $74.13 | $81.28 |
Blue Shield Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $275.42 | Professional | None | $134.90 | $186.21 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $630.96 | Professional | None | $125.89 | $154.88 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | None | $85.11 | $109.65 | $109.65 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $2.04 Median $2.88 Typical High $2.88 | Facility | None | $2.04 | $2.88 | $2.88 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Where California sits
The same service costs 512.9 times more in North Carolina than in South Carolina. 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· 25th of 51
$93.33
NC $1,047SC $2.04
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.