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 $85.11 Median $85.11 Typical High $199.53 | Facility | None | $85.11 | $85.11 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $199.53 | Professional | None | $85.11 | $85.11 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $97.72 | Professional | 52 · Reduced service | $42.66 | $42.66 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $39.81 | Professional | 53 · Discontinued | $16.98 | $16.98 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $29.51 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $19.95 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
CareFirst Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $79.43 | Professional | None | $66.07 | $66.07 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $302.00 | Facility | None | $199.53 | $199.53 | $302.00 |
United Setting Facility Modifier None Typical Low $97.72 Median $109.65 Typical High $239.88 | Facility | None | $97.72 | $109.65 | $239.88 |
Where Virginia 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.
Virginia· 18th of 51
$91.20
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.