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 $16.98 Median $16.98 Typical High $20.42 | Facility | None | $16.98 | $16.98 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $20.42 | Professional | None | $16.98 | $16.98 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $10.23 | Professional | 52 · Reduced service | $8.51 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.51 Typical High $3.09 | Professional | 55 · Aftercare only | $2.51 | $2.51 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.70 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.70 | $1.70 | $2.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | None | $38.90 | $38.90 | $43.65 |
CareFirst Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $36.31 | Professional | None | $28.18 | $31.62 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $31.62 | Professional | None | $21.38 | $25.12 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $30.90 Typical High $35.48 | Facility | None | $20.42 | $30.90 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $22.91 | Professional | None | $8.71 | $15.85 | $22.91 |
Sentara Setting Facility Modifier None Typical Low $15.49 Median $28.84 Typical High $10,232.93 | Facility | None | $15.49 | $28.84 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $13.18 Median $26.30 Typical High $33.11 | Professional | None | $13.18 | $26.30 | $33.11 |
United Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $61.66 | Professional | None | $28.84 | $37.15 | $61.66 |
Where Virginia sits
The same service costs 14.5 times more in Texas 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.
Virginia· 19th of 51
$31.62
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.