How much rates vary
Facilitymedian $112 · 10th to 90th $44 to $234Professionalmedian $76 · 10th to 90th $44 to $1,072
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 $43.65 Median $47.86 Typical High $72.44 | Facility | None | $43.65 | $47.86 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $72.44 | Professional | None | $43.65 | $43.65 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $36.31 | Professional | 52 · Reduced service | $21.88 | $21.88 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $14.45 | Professional | 53 · Discontinued | $8.71 | $8.71 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $10.72 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $7.24 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $7.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $85.11 | Professional | None | $25.70 | $30.20 | $85.11 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $151.36 Typical High $288.40 | Facility | None | $95.50 | $151.36 | $288.40 |
Blue Shield Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $85.11 | Professional | None | $52.48 | $75.86 | $85.11 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None | $67.61 | $67.61 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None | $67.61 | $67.61 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $630.96 Typical High $831.76 | Professional | None | $74.13 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
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 $43.65 Median $61.66 Typical High $102.33 | Facility | None | $43.65 | $61.66 | $102.33 |
Providence Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $213.80 | Facility | None | $138.04 | $138.04 | $213.80 |
United Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Where California sits
The same service costs 35.5 times more in Texas than in Kentucky. 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· 31st of 51
$75.86
TX $1,072KY $30.20
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.