How much rates vary
Facilitymedian $13,183 · 10th to 90th $3,802 to $42,658Professionalmedian $1,148 · 10th to 90th $912 to $8,511
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 $1,148.15 Median $5,754.40 Typical High $17,378.01 | Facility | None | $1,148.15 | $5,754.40 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $8,511.38 | Professional | None | $912.01 | $1,148.15 | $8,511.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $457.09 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $181.97 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $691.83 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $138.04 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $91.20 | $114.82 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $35,481.34 Median $46,773.51 Typical High $51,286.14 | Facility | None | $35,481.34 | $46,773.51 | $51,286.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.98 | Professional | None | $2.40 | $2.40 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $8,709.64 Median $14,454.40 Typical High $41,686.94 | Facility | None | $8,709.64 | $14,454.40 | $41,686.94 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,737.80 | Facility | None | $1,148.15 | $1,148.15 | $1,737.80 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $14,454.40 Typical High $40,738.03 | Facility | None | $4,570.88 | $14,454.40 | $40,738.03 |
Where Virginia sits
The same service costs 5754.4 times more in Oklahoma than in Maine. 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· 24th of 51
$10,715
OK $22,909ME $3.98
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.