How much rates vary
Facilitymedian $59 · 10th to 90th $47 to $186Professionalmedian $50 · 10th to 90th $40 to $288
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 $39.81 Median $41.69 Typical High $51.29 | Facility | None | $39.81 | $41.69 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $41.69 Typical High $51.29 | Professional | None | $33.88 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $20.89 Typical High $25.70 | Professional | 52 · Reduced service | $16.60 | $20.89 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.32 Typical High $10.23 | Professional | 53 · Discontinued | $6.76 | $8.32 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $6.31 Typical High $7.59 | Professional | 55 · Aftercare only | $5.01 | $6.31 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.17 Typical High $5.13 | Professional | 56 · Pre-op care only | $3.39 | $4.17 | $5.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $61.66 Typical High $251.19 | Facility | None | $47.86 | $61.66 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $147.91 | Professional | None | $39.81 | $50.12 | $147.91 |
Blue Shield Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $67.61 | Professional | None | $36.31 | $50.12 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Contra Costa Health Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $87.10 | Professional | None | $69.18 | $75.86 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $70.79 | Professional | None | $41.69 | $50.12 | $70.79 |
Lucent Health Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $446.68 | Professional | None | $288.40 | $446.68 | $446.68 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $60.26 Typical High $95.50 | Facility | None | $41.69 | $60.26 | $95.50 |
Providence Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | None | $46.77 | $46.77 | $58.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $114.82 | Professional | None | $33.11 | $48.98 | $114.82 |
Where California sits
The same service costs 2.6 times more in North Dakota than in Ohio. 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· 13th of 51
$50.12
ND $89.13OH $33.88
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.