How much rates vary
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | None | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $208.93 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $42.66 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $338.84 Typical High $1,047.13 | Facility | None | $323.59 | $338.84 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $512.86 | Professional | None | $295.12 | $389.05 | $512.86 |
CareSource Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $489.78 Typical High $1,548.82 | Facility | None | $446.68 | $489.78 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $2,344.23 | Professional | None | $436.52 | $436.52 | $2,344.23 |
Where Kentucky sits
The same service costs 6.5 times more in Minnesota 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.
Kentucky· 45th of 51
$437
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.