How much rates vary
Facilitymedian $63 · 10th to 90th $48 to $275Professionalmedian $219 · 10th to 90th $48 to $269
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 $218.78 Median $223.87 Typical High $234.42 | Facility | None | $218.78 | $223.87 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $234.42 | Professional | None | $213.80 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $112.20 Typical High $117.49 | Professional | 52 · Reduced service | $107.15 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $44.67 Typical High $46.77 | Professional | 53 · Discontinued | $42.66 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.11 Typical High $35.48 | Professional | 55 · Aftercare only | $31.62 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $22.39 Typical High $23.44 | Professional | 56 · Pre-op care only | $21.38 | $22.39 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $269.15 Typical High $269.15 | Professional | None | $95.50 | $269.15 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $60.26 Typical High $245.47 | Facility | None | $47.86 | $60.26 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $81.28 | Professional | None | $42.66 | $53.70 | $81.28 |
Blue Shield Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $346.74 | Professional | None | $194.98 | $275.42 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
HealthNet Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $302.00 | Professional | None | $213.80 | $263.03 | $302.00 |
Optum Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $302.00 Typical High $407.38 | Facility | None | $223.87 | $302.00 | $407.38 |
Providence Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Where California sits
The same service costs 6.3 times more in Alaska 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.
California· 28th of 51
$219
AK $339NY $53.70
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.