How much rates vary
Facilitymedian $186 · 10th to 90th $95 to $372Professionalmedian $76 · 10th to 90th $52 to $282
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 $131.83 Median $281.84 Typical High $281.84 | Facility | None | $131.83 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $281.84 Typical High $281.84 | Professional | None | $131.83 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $66.07 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $26.30 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $19.50 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $13.18 | $28.18 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $501.19 | Professional | None | $64.57 | $75.86 | $501.19 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $173.78 Typical High $371.54 | Facility | None | $97.72 | $173.78 | $371.54 |
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 $69.18 Median $69.18 Typical High $83.18 | Professional | None | $69.18 | $69.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Contra Costa Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | None | $69.18 | $69.18 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $630.96 Typical High $831.76 | Professional | None | $75.86 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
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 $186.21 Median $295.12 Typical High $398.11 | Facility | None | $186.21 | $295.12 | $398.11 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $89.13 | Professional | None | $60.26 | $79.43 | $89.13 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $131.83 | Facility | None | $85.11 | $85.11 | $131.83 |
United Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Where California sits
The same service costs 53.7 times more in Oklahoma than in Missouri. 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· 43rd of 51
$75.86
OK $2,570MO $47.86
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.