How much rates vary
Facilitymedian $5,888 · 10th to 90th $245 to $16,218Professionalmedian $288 · 10th to 90th $195 to $1,905
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 $181.97 Median $199.53 Typical High $389.05 | Professional | None | $181.97 | $199.53 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $100.00 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $39.81 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $147.91 Typical High $165.96 | Professional | 54 · Surgery only | $138.04 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.20 Typical High $33.11 | Professional | 55 · Aftercare only | $27.54 | $30.20 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $19.95 Typical High $21.88 | Professional | 56 · Pre-op care only | $18.20 | $19.95 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $323.59 | Professional | None | $190.55 | $245.47 | $323.59 |
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 $204.17 Median $288.40 Typical High $575.44 | Professional | None | $204.17 | $288.40 | $575.44 |
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 $1,348.96 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,348.96 | $1,905.46 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $281.84 Typical High $380.19 | Facility | None | $199.53 | $281.84 | $380.19 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $234.42 Typical High $288.40 | Professional | None | $79.43 | $234.42 | $288.40 |
Where California sits
The same service costs 25.7 times more in Oklahoma than in Vermont. 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· 23rd of 51
$288
OK $3,631VT $141
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.