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 $120.23 Median $120.23 Typical High $128.82 | Facility | None | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | None | $120.23 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $60.26 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $23.99 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $18.20 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.02 | $12.88 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $151.36 | Professional | None | $83.18 | $112.20 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $223.87 | Professional | None | $107.15 | $144.54 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $125.89 | Professional | None | $89.13 | $89.13 | $125.89 |
Sentara Setting Facility Modifier None Typical Low $97.72 Median $208.93 Typical High $11,481.54 | Facility | None | $97.72 | $208.93 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $141.25 Median $263.03 Typical High $10,232.93 | Professional | None | $141.25 | $263.03 | $10,232.93 |
United Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $245.47 | Professional | None | $100.00 | $158.49 | $245.47 |
Where Virginia 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.
Virginia· 28th of 51
$129
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.