How much rates vary
Facilitymedian $224 · 10th to 90th $120 to $10,233Professionalmedian $102 · 10th to 90th $79 to $186
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 $120.23 Median $120.23 Typical High $186.21 | Facility | None | $120.23 | $120.23 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $186.21 | Professional | None | $120.23 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $141.25 Typical High $141.25 | Professional | 54 · Surgery only | $91.20 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $18.20 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $12.02 | $18.62 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $107.15 | Professional | None | $79.43 | $79.43 | $107.15 |
CareFirst Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $147.91 | Professional | None | $102.33 | $112.20 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $190.55 | Professional | None | $128.82 | $154.88 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $288.40 | Facility | None | $186.21 | $223.87 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Sentara Setting Facility Modifier None Typical Low $120.23 Median $912.01 Typical High $10,232.93 | Facility | None | $120.23 | $912.01 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $10,232.93 | Professional | None | $125.89 | $173.78 | $10,232.93 |
Where Virginia sits
The same service costs 16.2 times more in Minnesota 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
$112
MN $1,479NJ $91.20
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.