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 $100.00 Median $100.00 Typical High $109.65 | Facility | None | $100.00 | $100.00 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Professional | None | $100.00 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $50.12 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $19.95 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $15.14 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.00 | $10.96 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $109.65 | Professional | None | $61.66 | $95.50 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $138.04 | Professional | None | $74.13 | $97.72 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $107.15 | Professional | None | $74.13 | $74.13 | $107.15 |
Sentara Setting Facility Modifier None Typical Low $91.20 Median $169.82 Typical High $11,481.54 | Facility | None | $91.20 | $169.82 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $10,232.93 | Professional | None | $100.00 | $169.82 | $10,232.93 |
United Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $204.17 | Professional | None | $85.11 | $134.90 | $204.17 |
Where Virginia sits
The same service costs 2.5 times more in Alaska than in Arizona. 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
$110
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.