How much rates vary
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 $112.20 Median $128.82 Typical High $138.04 | Facility | None | $112.20 | $128.82 | $138.04 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $56.23 Median $64.57 Typical High $69.18 | Facility | 52 · Reduced service | $56.23 | $64.57 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $28.18 | Facility | 53 · Discontinued | $22.39 | $25.70 | $28.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $19.05 Typical High $20.89 | Facility | 55 · Aftercare only | $16.60 | $19.05 | $20.89 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.22 Median $12.88 Typical High $13.80 | Facility | 56 · Pre-op care only | $11.22 | $12.88 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $138.04 | Professional | None | $100.00 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $60.26 Typical High $69.18 | Professional | 52 · Reduced service | $50.12 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $19.95 | $23.99 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $18.20 Typical High $20.89 | Professional | 55 · Aftercare only | $14.79 | $18.20 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $12.02 Typical High $13.80 | Professional | 56 · Pre-op care only | $10.00 | $12.02 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $204.17 | Professional | None | $93.33 | $120.23 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $831.76 Typical High $831.76 | Professional | None | $158.49 | $831.76 | $831.76 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $204.17 | Professional | None | $107.15 | $134.90 | $204.17 |
Where Kentucky sits
The same service costs 2.6 times more in North Dakota than in Delaware. 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· 34th of 51
$126
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.