How much rates vary
Facilitymedian $186 · 10th to 90th $115 to $234Professionalmedian $72 · 10th to 90th $30 to $166
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 $114.82 Median $186.21 Typical High $234.42 | Facility | None | $114.82 | $186.21 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $186.21 | Professional | None | $114.82 | $114.82 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $93.33 | Professional | 52 · Reduced service | $57.54 | $57.54 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $37.15 | Professional | 53 · Discontinued | $22.91 | $22.91 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $28.18 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $18.62 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
CareFirst Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $87.10 | Professional | None | $72.44 | $72.44 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $288.40 | Facility | None | $186.21 | $186.21 | $288.40 |
United Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $331.13 | Facility | None | $134.90 | $151.36 | $331.13 |
Where Virginia 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.
Virginia· 42nd of 51
$72.44
NC $204KY $30.20
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.