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 $933.25 Median $8,128.31 Typical High $19,054.61 | Facility | None | $933.25 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $331.13 | Professional | None | $154.88 | $169.82 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $85.11 Typical High $112.20 | Professional | 52 · Reduced service | $77.62 | $85.11 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $50.12 | Professional | 53 · Discontinued | $30.90 | $33.88 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $125.89 Typical High $169.82 | Professional | 54 · Surgery only | $117.49 | $125.89 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $25.70 Typical High $38.02 | Professional | 55 · Aftercare only | $23.44 | $25.70 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $16.98 Typical High $22.39 | Professional | 56 · Pre-op care only | $15.49 | $16.98 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $269.15 | Professional | None | $162.18 | $204.17 | $269.15 |
Blue Shield Setting Facility Modifier None Typical Low $741.31 Median $1,412.54 Typical High $3,311.31 | Facility | None | $741.31 | $1,412.54 | $3,311.31 |
Blue Shield Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $537.03 | Professional | None | $186.21 | $269.15 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $407.38 | Professional | None | $141.25 | $141.25 | $407.38 |
Lucent Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,122.02 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $323.59 | Facility | None | $169.82 | $234.42 | $323.59 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $194.98 Typical High $245.47 | Professional | None | $79.43 | $194.98 | $245.47 |
Where California sits
The same service costs 7.6 times more in Nebraska than in West Virginia. 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· 20th of 51
$269
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.