How much rates vary
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 $38.90 Median $112.20 Typical High $112.20 | Facility | None | $38.90 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $112.20 Typical High $112.20 | Professional | None | $38.90 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $19.05 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $7.76 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $5.75 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $3.89 | $11.22 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $144.54 | Professional | None | $112.20 | $117.49 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $380.19 | Facility | None | $123.03 | $173.78 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $616.60 | Professional | None | $109.65 | $109.65 | $616.60 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $125.89 | Professional | None | $114.82 | $125.89 | $125.89 |
Where Kentucky sits
The same service costs 2.3 times more in North Dakota than in North Carolina. 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.
Kentucky· 40th of 51
$112
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.