How much rates vary
Facilitymedian $224 · 10th to 90th $112 to $2,455Professionalmedian $126 · 10th to 90th $79 to $269
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 $75.86 Median $75.86 Typical High $79.43 | Facility | None | $75.86 | $75.86 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $79.43 | Professional | None | $75.86 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $38.02 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $15.14 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $11.48 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.59 | $7.94 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
CareFirst Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
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 $302.00 | Professional | None | $125.89 | $158.49 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $123.03 | Facility | None | $75.86 | $75.86 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $316.23 | Professional | None | $75.86 | $109.65 | $316.23 |
Sentara Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $10,232.93 | Facility | None | $144.54 | $218.78 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $331.13 | Professional | None | $117.49 | $169.82 | $331.13 |
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 3.8 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· 5th of 51
$135
WY $288KY $75.86
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.