How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.89 Median $1.07 Typical High $1.48 | Facility | None | $0.89 | $1.07 | $1.48 |
Aetna Setting Professional Modifier None Typical Low $1.02 Median $1.07 Typical High $1.23 | Professional | None | $1.02 | $1.07 | $1.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.51 Median $0.51 Typical High $0.54 | Professional | 52 · Reduced service | $0.51 | $0.51 | $0.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.20 Typical High $0.21 | Professional | 53 · Discontinued | $0.20 | $0.20 | $0.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.15 Typical High $0.16 | Professional | 55 · Aftercare only | $0.15 | $0.15 | $0.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.10 | $0.10 | $0.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
CareFirst Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.87 Median $1.02 Typical High $2.09 | Professional | None | $0.87 | $1.02 | $2.09 |
Medcost Setting Professional Modifier None Typical Low $0.50 Median $0.50 Typical High $2.24 | Professional | None | $0.50 | $0.50 | $2.24 |
Medcost Setting Facility Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Facility | None | $1.00 | $1.00 | $1.00 |
Medcost Setting Professional Modifier None Typical Low $0.45 Median $0.95 Typical High $2.00 | Professional | None | $0.45 | $0.95 | $2.00 |
Sentara Setting Facility Modifier None Typical Low $0.91 Median $1.05 Typical High $1.35 | Facility | None | $0.91 | $1.05 | $1.35 |
Sentara Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.07 | Professional | None | $1.02 | $1.02 | $1.07 |
United Setting Professional Modifier None Typical Low $0.89 Median $0.95 Typical High $1.00 | Professional | None | $0.89 | $0.95 | $1.00 |
Where Virginia sits
The same service costs 1.5 times more in Alaska than in New Mexico. 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· 21st of 51
$1.02
AK $1.35NM $0.89
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.