How much rates vary
Facilitymedian $81 · 10th to 90th $72 to $309Professionalmedian $138 · 10th to 90th $56 to $141
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 $72.44 Median $72.44 Typical High $81.28 | Facility | None | $72.44 | $72.44 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $81.28 | Professional | None | $72.44 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $14.45 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $10.96 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.24 | $8.13 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
CareFirst Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None | $138.04 | $138.04 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $112.20 | Facility | None | $74.13 | $74.13 | $112.20 |
United Setting Facility Modifier None Typical Low $275.42 Median $309.03 Typical High $676.08 | Facility | None | $275.42 | $309.03 | $676.08 |
Where Virginia sits
The same service costs 13.8 times more in Indiana than in Pennsylvania. 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· 9th of 51
$138
IN $646PA $46.77
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.