How much rates vary
Facilitymedian $54 · 10th to 90th $9 to $191Professionalmedian $10 · 10th to 90th $9 to $16
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 $8.51 Median $8.51 Typical High $10.00 | Facility | None | $8.51 | $8.51 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $15.14 | Professional | None | $8.51 | $10.00 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $5.01 Typical High $7.94 | Professional | 52 · Reduced service | $4.27 | $5.01 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.00 Typical High $3.24 | Professional | 53 · Discontinued | $1.70 | $2.00 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.51 Typical High $2.40 | Professional | 55 · Aftercare only | $1.29 | $1.51 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $1.00 Typical High $1.58 | Professional | 56 · Pre-op care only | $0.85 | $1.00 | $1.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $257.04 | Facility | None | $48.98 | $63.10 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Blue Shield Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $147.91 | Professional | None | $69.18 | $100.00 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $630.96 Typical High $831.76 | Professional | None | $141.25 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $6.31 Median $10.00 Typical High $16.22 | Facility | None | $6.31 | $10.00 | $16.22 |
Providence Setting Professional Modifier None Typical Low $15.14 Median $79.43 Typical High $79.43 | Professional | None | $15.14 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Where California sits
The same service costs 2818382.9 times more in Pennsylvania than in Louisiana. 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· 45th of 51
$10.96
PA $56,234LA $0.02
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.