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 $33.11 Median $33.11 Typical High $38.90 | Facility | None | $33.11 | $33.11 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | None | $33.11 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $16.60 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $6.61 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $5.89 Typical High $5.89 | Professional | 55 · Aftercare only | $4.90 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.31 | $3.89 | $3.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $35.48 | Professional | None | $20.89 | $20.89 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $66.07 | Professional | None | $33.11 | $44.67 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Sentara Setting Facility Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Facility | None | $7,413.10 | $10,232.93 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Professional | None | $7,413.10 | $10,232.93 | $11,481.54 |
Where Virginia sits
The same service costs 204.2 times more in Montana than in Kansas. 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· 30th of 51
$36.31
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.