How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3.47 Median $3.47 Typical High $575.44 | Facility | None | $3.47 | $3.47 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $575.44 Typical High $575.44 | Professional | None | $3.47 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $1.74 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $0.69 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $0.52 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $0.35 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,819.70 | Professional | None | $537.03 | $537.03 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $870.96 | Facility | None | $575.44 | $575.44 | $870.96 |
Sentara Setting Facility Modifier None Typical Low $512.86 Median $933.25 Typical High $4,570.88 | Facility | None | $512.86 | $933.25 | $4,570.88 |
Sentara Setting Professional Modifier None Typical Low $100.00 Median $912.01 Typical High $1,737.80 | Professional | None | $100.00 | $912.01 | $1,737.80 |
Where Virginia sits
The same service costs 446.7 times more in Connecticut than in Idaho. 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· 6th of 51
$575
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.