How much rates vary
Facilitymedian $37 · 10th to 90th $15 to $66Professionalmedian $10 · 10th to 90th $7 to $11
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 $9.12 Median $9.12 Typical High $10.00 | Facility | None | $9.12 | $9.12 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.00 | Professional | None | $9.12 | $9.12 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $4.57 Typical High $5.01 | Professional | 52 · Reduced service | $4.57 | $4.57 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $2.00 | Professional | 53 · Discontinued | $1.82 | $1.82 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.35 Median $1.35 Typical High $1.48 | Professional | 55 · Aftercare only | $1.35 | $1.35 | $1.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.91 Median $0.91 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.91 | $0.91 | $1.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $42.66 Typical High $67.61 | Facility | None | $20.89 | $42.66 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.59 | Professional | None | $10.96 | $10.96 | $12.59 |
CareFirst Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $16.98 Typical High $24.55 | Facility | None | $10.23 | $16.98 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $16.60 | Professional | None | $11.22 | $13.49 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Medcost Setting Professional Modifier None Typical Low $0.33 Median $7.41 Typical High $131.83 | Professional | None | $0.33 | $7.41 | $131.83 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $6.31 Median $7.41 Typical High $9.55 | Professional | None | $6.31 | $7.41 | $9.55 |
Where Virginia sits
The same service costs 46.8 times more in New York than in Arkansas. 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· 30th of 51
$9.77
NY $324AR $6.92
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.