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 $104.71 Median $109.65 Typical High $134.90 | Facility | None | $104.71 | $109.65 | $134.90 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $52.48 Median $54.95 Typical High $67.61 | Facility | 52 · Reduced service | $52.48 | $54.95 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $26.92 | Facility | 53 · Discontinued | $20.89 | $21.88 | $26.92 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.49 Median $16.60 Typical High $19.95 | Facility | 55 · Aftercare only | $15.49 | $16.60 | $19.95 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.96 Typical High $13.49 | Facility | 56 · Pre-op care only | $10.47 | $10.96 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $134.90 | Professional | None | $93.33 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | 52 · Reduced service | $46.77 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $21.88 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $16.60 Typical High $19.95 | Professional | 55 · Aftercare only | $14.13 | $16.60 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.96 Typical High $13.49 | Professional | 56 · Pre-op care only | $9.33 | $10.96 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $173.78 | Professional | None | $79.43 | $104.71 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $812.83 Typical High $812.83 | Professional | None | $154.88 | $812.83 | $812.83 |
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 $93.33 Median $114.82 Typical High $177.83 | Professional | None | $93.33 | $114.82 | $177.83 |
Where Kentucky 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.
Kentucky· 35th of 51
$112
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.