How much rates vary
Facilitymedian $112 · 10th to 90th $34 to $224Professionalmedian $36 · 10th to 90th $25 to $135
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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $50.12 | Professional | None | $24.55 | $24.55 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $25.12 | Professional | 52 · Reduced service | $12.30 | $12.30 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $10.00 | Professional | 53 · Discontinued | $4.90 | $4.90 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $7.59 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $5.01 | Professional | 56 · Pre-op care only | $2.45 | $2.45 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $120.23 Typical High $239.88 | Facility | None | $35.48 | $120.23 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $104.71 Typical High $173.78 | Facility | None | $69.18 | $104.71 | $173.78 |
Blue Shield Setting Professional Modifier None Typical Low $79.43 Median $186.21 Typical High $309.03 | Professional | None | $79.43 | $186.21 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $81.28 | Professional | None | $25.12 | $33.11 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | None | $66.07 | $66.07 | $95.50 |
Lucent Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $588.84 | Professional | None | $371.54 | $371.54 | $588.84 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $45.71 Typical High $104.71 | Facility | None | $24.55 | $45.71 | $104.71 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Sutter Health Plus Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $81.28 | Facility | None | $69.18 | $69.18 | $81.28 |
United Setting Professional Modifier None Typical Low $10.96 Median $29.51 Typical High $57.54 | Professional | None | $10.96 | $29.51 | $57.54 |
Where California sits
The same service costs 2.8 times more in Hawaii than in Utah. 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.
California· 41st of 51
$36.31
HI $81.28UT $28.84
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.