How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $3
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 $1.29 Median $1.29 Typical High $2.34 | Facility | None | $1.29 | $1.29 | $2.34 |
Aetna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | None | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 52 · Reduced service | $0.65 | $0.65 | $0.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 53 · Discontinued | $0.26 | $0.26 | $0.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 55 · Aftercare only | $0.19 | $0.19 | $0.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.41 Median $1.70 Typical High $1.91 | Facility | None | $1.41 | $1.70 | $1.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.32 Median $2.57 Typical High $100.00 | Professional | None | $1.32 | $2.57 | $100.00 |
Blue Shield Setting Facility Modifier None Typical Low $1.15 Median $1.15 Typical High $1.62 | Facility | None | $1.15 | $1.15 | $1.62 |
Blue Shield Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | None | $1.15 | $1.15 | $1.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1.12 Median $1.48 Typical High $1.70 | Professional | None | $1.12 | $1.48 | $1.70 |
Cigna Setting Facility Modifier None Typical Low $1.32 Median $2.63 Typical High $3.98 | Facility | None | $1.32 | $2.63 | $3.98 |
Cigna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Providence Setting Facility Modifier None Typical Low $1.29 Median $2.40 Typical High $3.98 | Facility | None | $1.29 | $2.40 | $3.98 |
Providence Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Where California sits
The same service costs 2.6 times more in Arizona 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· 33rd of 51
$1.32
AZ $2.40SC $0.93
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.