How much rates vary
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 $43.65 Median $43.65 Typical High $46.77 | Facility | None | $43.65 | $43.65 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | None | $43.65 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | 52 · Reduced service | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $8.71 | $8.71 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $7.08 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.68 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $4.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $48.98 | Professional | None | $28.18 | $40.74 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $70.79 | Professional | None | $38.90 | $50.12 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $41.69 | Professional | None | $29.51 | $29.51 | $41.69 |
Sentara Setting Facility Modifier None Typical Low $44.67 Median $77.62 Typical High $11,481.54 | Facility | None | $44.67 | $77.62 | $11,481.54 |
Sentara Setting Professional Modifier None Typical Low $45.71 Median $77.62 Typical High $10,232.93 | Professional | None | $45.71 | $77.62 | $10,232.93 |
United Setting Professional Modifier None Typical Low $34.67 Median $56.23 Typical High $87.10 | Professional | None | $34.67 | $56.23 | $87.10 |
Where Virginia 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.
Virginia· 29th of 51
$43.65
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.