How much rates vary
Facilitymedian $170 · 10th to 90th $89 to $2,455Professionalmedian $126 · 10th to 90th $89 to $191
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 $89.13 Median $89.13 Typical High $93.33 | Facility | None | $89.13 | $89.13 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | None | $89.13 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $44.67 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $17.78 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $13.49 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.91 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
CareFirst Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $331.13 | Facility | None | $190.55 | $239.88 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $223.87 | Professional | None | $125.89 | $158.49 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $144.54 | Facility | None | $89.13 | $89.13 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $213.80 | Professional | None | $89.13 | $109.65 | $213.80 |
Sentara Setting Facility Modifier None Typical Low $83.18 Median $144.54 Typical High $10,232.93 | Facility | None | $83.18 | $144.54 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $169.82 | Professional | None | $61.66 | $89.13 | $169.82 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | None | $125.89 | $125.89 | $134.90 |
Where Virginia sits
The same service costs 2.1 times more in Wyoming 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· 4th of 51
$126
WY $191KY $89.13
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.