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 $575,439.94 Median $575,439.94 Typical High $602,559.59 | Facility | None | $575,439.94 | $575,439.94 | $602,559.59 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $602,559.59 | Professional | None | $575,439.94 | $575,439.94 | $602,559.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $301,995.17 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $301,995.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $123,026.88 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $123,026.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $91,201.08 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $91,201.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $60,255.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.03 Typical High $0.04 | Facility | None | $0.02 | $0.03 | $0.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Professional | None | $575,439.94 | $575,439.94 | $575,439.94 |
CareFirst Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Professional | None | $512,861.38 | $512,861.38 | $512,861.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489,778.82 Median $575,439.94 Typical High $616,595.00 | Professional | None | $489,778.82 | $575,439.94 | $616,595.00 |
Medcost Setting Facility Modifier None Typical Low $933,254.30 Median $933,254.30 Typical High $933,254.30 | Facility | None | $933,254.30 | $933,254.30 | $933,254.30 |
Medcost Setting Professional Modifier None Typical Low $407,380.28 Median $407,380.28 Typical High $676,082.98 | Professional | None | $407,380.28 | $407,380.28 | $676,082.98 |
Sentara Setting Facility Modifier None Typical Low $537,031.80 Median $602,559.59 Typical High $758,577.58 | Facility | None | $537,031.80 | $602,559.59 | $758,577.58 |
Sentara Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $676,082.98 | Professional | None | $575,439.94 | $575,439.94 | $676,082.98 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $870,963.59 | Professional | None | $562,341.33 | $562,341.33 | $870,963.59 |
Where Virginia sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 38th of 51
$575,440
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.