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 $457.09 Median $457.09 Typical High $489.78 | Facility | None | $457.09 | $457.09 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $489.78 | Professional | None | $457.09 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $229.09 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $93.33 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $69.18 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $45.71 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
CareFirst Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
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 $1,513.56 | Professional | None | $125.89 | $158.49 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $741.31 | Facility | None | $457.09 | $457.09 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $1,584.89 | Professional | None | $109.65 | $109.65 | $1,584.89 |
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 $204.17 Typical High $426.58 | Professional | None | $117.49 | $204.17 | $426.58 |
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 12.0 times more in Wyoming 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.
Virginia· 19th of 51
$331
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.