How much rates vary
Facilitymedian $43 · 10th to 90th $34 to $138Professionalmedian $34 · 10th to 90th $30 to $43
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 $33.11 Median $33.88 Typical High $36.31 | Facility | None | $33.11 | $33.88 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $36.31 | Professional | None | $31.62 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $15.85 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $7.24 | Professional | 53 · Discontinued | $6.46 | $6.76 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $5.01 Typical High $5.37 | Professional | 55 · Aftercare only | $4.79 | $5.01 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.39 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.24 | $3.39 | $3.63 |
Ambetter Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $45.71 Typical High $186.21 | Facility | None | $36.31 | $45.71 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $52.48 | Professional | None | $30.20 | $39.81 | $52.48 |
Blue Shield Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $54.95 | Professional | None | $25.70 | $37.15 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $40.74 | Professional | None | $28.84 | $35.48 | $40.74 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Providence Setting Facility Modifier None Typical Low $33.88 Median $45.71 Typical High $61.66 | Facility | None | $33.88 | $45.71 | $61.66 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Where California sits
The same service costs 3.1 times more in Montana than in Mississippi. 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· 15th of 51
$33.88
MT $79.43MS $25.70
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.