How much rates vary
Facilitymedian $288 · 10th to 90th $263 to $295Professionalmedian $427 · 10th to 90th $22 to $501
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 $288.40 Median $288.40 Typical High $295.12 | Facility | None | $288.40 | $288.40 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $288.40 | Professional | None | $245.47 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $120.23 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $36.31 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $24.55 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $501.19 | Professional | None | $371.54 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Where Kentucky sits
The same service costs 25.1 times more in North Dakota than in West Virginia. 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.
Kentucky· 6th of 51
$427
ND $562WV $22.39
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.