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 $100.00 Median $109.65 Typical High $112.20 | Facility | None | $100.00 | $109.65 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $100.00 Typical High $112.20 | Professional | None | $93.33 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $50.12 Typical High $56.23 | Professional | 52 · Reduced service | $46.77 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $15.14 Typical High $16.98 | Professional | 55 · Aftercare only | $14.13 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.00 Typical High $11.22 | Professional | 56 · Pre-op care only | $9.33 | $10.00 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $588.84 | Facility | None | $112.20 | $144.54 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $389.05 | Professional | None | $97.72 | $117.49 | $389.05 |
Blue Shield Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $165.96 | Professional | None | $85.11 | $117.49 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $229.09 | Professional | None | $114.82 | $173.78 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $190.55 | Professional | None | $81.28 | $134.90 | $190.55 |
Lucent Health Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $1,445.44 | Professional | None | $891.25 | $1,445.44 | $1,445.44 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $144.54 Typical High $245.47 | Facility | None | $100.00 | $144.54 | $245.47 |
Providence Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | None | $138.04 | $154.88 | $154.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $316.23 | Professional | None | $85.11 | $125.89 | $316.23 |
Where California sits
The same service costs 2.8 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.
California· 29th of 51
$117
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.