How much rates vary
Facilitymedian $65 · 10th to 90th $48 to $68Professionalmedian $51 · 10th to 90th $42 to $78
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 $47.86 Median $51.29 Typical High $67.61 | Facility | None | $47.86 | $51.29 | $67.61 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $23.99 Median $25.70 Typical High $33.88 | Facility | 52 · Reduced service | $23.99 | $25.70 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $10.23 Typical High $13.80 | Facility | 53 · Discontinued | $9.55 | $10.23 | $13.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $7.08 Median $7.59 Typical High $10.23 | Facility | 55 · Aftercare only | $7.08 | $7.59 | $10.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.13 Typical High $6.76 | Facility | 56 · Pre-op care only | $4.79 | $5.13 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $67.61 | Professional | None | $42.66 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $25.70 Typical High $33.88 | Professional | 52 · Reduced service | $21.38 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.23 Typical High $13.80 | Professional | 53 · Discontinued | $8.51 | $10.23 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.59 Typical High $10.23 | Professional | 55 · Aftercare only | $6.31 | $7.59 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $5.13 Typical High $6.76 | Professional | 56 · Pre-op care only | $4.27 | $5.13 | $6.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $81.28 | Professional | None | $37.15 | $47.86 | $81.28 |
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 $77.62 Median $407.38 Typical High $407.38 | Professional | None | $77.62 | $407.38 | $407.38 |
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 $42.66 Median $53.70 Typical High $81.28 | Professional | None | $42.66 | $53.70 | $81.28 |
Where Kentucky sits
The same service costs 3.0 times more in North Dakota 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· 37th of 51
$51.29
ND $129NY $42.66
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.