How much rates vary
Facilitymedian $776 · 10th to 90th $6 to $1,778Professionalmedian $389 · 10th to 90th $6 to $617
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 $5.75 Median $5.75 Typical High $389.05 | Facility | None | $5.75 | $5.75 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $389.05 Typical High $389.05 | Professional | None | $5.75 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $2.88 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $1.15 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.87 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $0.87 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $0.58 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $87.10 | Professional | None | $60.26 | $72.44 | $87.10 |
Blue Shield Setting Facility Modifier None Typical Low $537.03 Median $1,000.00 Typical High $2,187.76 | Facility | None | $537.03 | $1,000.00 | $2,187.76 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $630.96 Typical High $831.76 | Professional | None | $128.82 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $8.32 Median $389.05 Typical High $1,071.52 | Facility | None | $8.32 | $389.05 | $1,071.52 |
Providence Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,737.80 | Facility | None | $1,122.02 | $1,122.02 | $1,737.80 |
Where California sits
The same service costs 190.5 times more in North Carolina than in North Dakota. 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· 25th of 51
$389
NC $1,096ND $5.75
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.