How much rates vary
Facilitymedian $178 · 10th to 90th $54 to $355Professionalmedian $58 · 10th to 90th $36 to $214
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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $70.79 | Professional | None | $36.31 | $36.31 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $35.48 | Professional | 52 · Reduced service | $18.20 | $18.20 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $14.13 | Professional | 53 · Discontinued | $7.24 | $7.24 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.50 Typical High $10.72 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $7.08 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $190.55 Typical High $380.19 | Facility | None | $56.23 | $190.55 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $275.42 | Facility | None | $95.50 | $165.96 | $275.42 |
Blue Shield Setting Professional Modifier None Typical Low $125.89 Median $295.12 Typical High $489.78 | Professional | None | $125.89 | $295.12 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.12 Median $114.82 Typical High $138.04 | Professional | None | $25.12 | $114.82 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $144.54 | Professional | None | $93.33 | $104.71 | $144.54 |
Lucent Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $776.25 | Professional | None | $575.44 | $575.44 | $776.25 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $66.07 Typical High $165.96 | Facility | None | $36.31 | $66.07 | $165.96 |
Providence Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Sutter Health Plus Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $120.23 | Facility | None | $102.33 | $102.33 | $120.23 |
United Setting Professional Modifier None Typical Low $10.96 Median $43.65 Typical High $83.18 | Professional | None | $10.96 | $43.65 | $83.18 |
Where California sits
The same service costs 3.2 times more in Hawaii than in New York. 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· 38th of 51
$57.54
HI $135NY $41.69
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.