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 $234.42 Median $234.42 Typical High $512.86 | Facility | None | $234.42 | $234.42 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $512.86 Typical High $512.86 | Professional | None | $234.42 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $34.67 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $23.44 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None | $0.02 | $0.02 | $0.02 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $776.25 | Facility | None | $512.86 | $512.86 | $776.25 |
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 28.2 times more in Colorado than in Montana. 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· 26th of 51
$513
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.