How much rates vary
Facilitymedian $55 · 10th to 90th $36 to $120Professionalmedian $34 · 10th to 90th $20 to $54
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 $33.88 Median $33.88 Typical High $35.48 | Facility | None | $33.88 | $33.88 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $35.48 | Professional | None | $33.11 | $33.88 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $16.60 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.76 Typical High $7.08 | Professional | 53 · Discontinued | $6.61 | $6.76 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.01 Typical High $5.37 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.39 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.31 | $3.39 | $3.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $58.88 | Facility | None | $54.95 | $54.95 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
CareFirst Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $66.07 | Professional | None | $46.77 | $54.95 | $66.07 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $51.29 | Professional | None | $36.31 | $36.31 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Facility | None | $60.26 | $60.26 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | None | $29.51 | $29.51 | $32.36 |
Sentara Setting Facility Modifier None Typical Low $36.31 Median $64.57 Typical High $10,232.93 | Facility | None | $36.31 | $64.57 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $53.70 | Professional | None | $31.62 | $38.02 | $53.70 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Facility | None | $54.95 | $54.95 | $66.07 |
United Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $30.20 | Professional | None | $20.42 | $26.92 | $30.20 |
Where Virginia sits
The same service costs 3.2 times more in Montana than in Indiana. 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· 20th of 51
$33.88
MT $64.57IN $19.95
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.