How much rates vary
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 $51.29 Median $93.33 Typical High $93.33 | Facility | None | $51.29 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $93.33 | Professional | None | $51.29 | $51.29 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $45.71 | Professional | 52 · Reduced service | $25.70 | $25.70 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $18.62 | Professional | 53 · Discontinued | $10.23 | $10.23 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $13.80 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $72.44 | Professional | None | $25.70 | $30.20 | $72.44 |
Blue Shield Setting Facility Modifier None Typical Low $93.33 Median $138.04 Typical High $257.04 | Facility | None | $93.33 | $138.04 | $257.04 |
Blue Shield Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | None | $77.62 | $77.62 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | None | $77.62 | $77.62 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $630.96 Typical High $831.76 | Professional | None | $85.11 | $630.96 | $831.76 |
Lucent Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
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 $51.29 Median $74.13 Typical High $131.83 | Facility | None | $51.29 | $74.13 | $131.83 |
Providence Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $181.97 | Facility | None | $117.49 | $117.49 | $181.97 |
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 6.8 times more in North Carolina 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· 38th of 51
$77.62
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.