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 $158.49 Median $158.49 Typical High $208.93 | Facility | None | $158.49 | $158.49 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | None | $158.49 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | 54 · Surgery only | $117.49 | $117.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $31.62 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $20.89 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $154.88 | Professional | None | $114.82 | $114.82 | $154.88 |
CareFirst Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $173.78 | Professional | None | $120.23 | $131.83 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $338.84 | Professional | None | $229.09 | $275.42 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $239.88 | Facility | None | $158.49 | $190.55 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Sentara Setting Facility Modifier None Typical Low $144.54 Median $912.01 Typical High $10,232.93 | Facility | None | $144.54 | $912.01 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $10,232.93 | Professional | None | $158.49 | $223.87 | $10,232.93 |
Where Virginia sits
The same service costs 17.8 times more in Texas than in New Jersey. 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· 48th of 51
$132
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.