How much rates vary
Facilitymedian $81 · 10th to 90th $54 to $174Professionalmedian $49 · 10th to 90th $30 to $79
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 $48.98 Median $48.98 Typical High $52.48 | Facility | None | $48.98 | $48.98 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $52.48 | Professional | None | $48.98 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | 52 · Reduced service | $24.55 | $24.55 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $10.47 | Professional | 53 · Discontinued | $9.77 | $9.77 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $7.76 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $87.10 | Facility | None | $81.28 | $81.28 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
CareFirst Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $97.72 | Professional | None | $69.18 | $81.28 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $74.13 | Professional | None | $53.70 | $53.70 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $117.49 | Facility | None | $89.13 | $89.13 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | None | $43.65 | $43.65 | $48.98 |
Sentara Setting Facility Modifier None Typical Low $53.70 Median $91.20 Typical High $10,232.93 | Facility | None | $53.70 | $91.20 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $77.62 | Professional | None | $45.71 | $60.26 | $77.62 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $100.00 | Facility | None | $83.18 | $83.18 | $100.00 |
United Setting Professional Modifier None Typical Low $30.90 Median $39.81 Typical High $43.65 | Professional | None | $30.90 | $39.81 | $43.65 |
Where Virginia sits
The same service costs 2.8 times more in Montana than in Ohio. 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· 24th of 51
$48.98
MT $83.18OH $30.20
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.