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 $194.98 Median $257.04 Typical High $257.04 | Facility | None | $194.98 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $257.04 | Professional | None | $204.17 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $40.74 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $30.20 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $20.42 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $251.19 | Professional | None | $83.18 | $128.82 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | None | $154.88 | $154.88 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
CareSource Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $416.87 | Professional | None | $281.84 | $346.74 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Where Kentucky 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.
Kentucky· 47th of 51
$195
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.