How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $190.55 Median $213.80 Typical High $218.78 | Facility | None | $190.55 | $213.80 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $213.80 Typical High $218.78 | Professional | None | $190.55 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $95.50 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $38.02 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $33.11 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $21.38 Typical High $21.88 | Professional | 56 · Pre-op care only | $19.05 | $21.38 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $16.98 | Professional | None | $13.49 | $15.85 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $275.42 | Professional | None | $181.97 | $208.93 | $275.42 |
Where Kentucky sits
The same service costs 6.6 times more in Alabama than in New York. 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.
Kentucky· 43rd of 51
$182
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.