How much rates vary
Facilitymedian $65 · 10th to 90th $41 to $10,233Professionalmedian $50 · 10th to 90th $50 to $78
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 $50.12 Median $50.12 Typical High $52.48 | Facility | None | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | None | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $26.30 | Professional | 52 · Reduced service | $25.12 | $25.12 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.47 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | 55 · Aftercare only | $7.59 | $7.59 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.01 Typical High $5.25 | Professional | 56 · Pre-op care only | $5.01 | $5.01 | $5.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $74.13 | Professional | None | $34.67 | $46.77 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $112.20 | Professional | None | $44.67 | $70.79 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | None | $35.48 | $35.48 | $50.12 |
Sentara Setting Facility Modifier None Typical Low $40.74 Median $89.13 Typical High $11,481.54 | Facility | None | $40.74 | $89.13 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $61.66 Median $128.82 Typical High $10,232.93 | Professional | None | $61.66 | $128.82 | $10,232.93 |
United Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $97.72 | Professional | None | $39.81 | $63.10 | $97.72 |
Where Virginia 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.
Virginia· 38th of 51
$50.12
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.