How much rates vary
Facilitymedian $95 · 10th to 90th $63 to $204Professionalmedian $58 · 10th to 90th $35 to $91
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 $57.54 Median $57.54 Typical High $61.66 | Facility | None | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | None | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $28.84 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $12.30 | Professional | 53 · Discontinued | $11.48 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $9.12 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $6.17 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $102.33 | Facility | None | $95.50 | $95.50 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
CareFirst Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $114.82 | Professional | None | $81.28 | $95.50 | $114.82 |
Medcost Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | None | $63.10 | $63.10 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $138.04 | Facility | None | $104.71 | $104.71 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | None | $51.29 | $51.29 | $54.95 |
Sentara Setting Facility Modifier None Typical Low $63.10 Median $107.15 Typical High $10,232.93 | Facility | None | $63.10 | $107.15 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $91.20 | Professional | None | $53.70 | $66.07 | $91.20 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $114.82 | Facility | None | $95.50 | $95.50 | $114.82 |
United Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $50.12 | Professional | None | $34.67 | $46.77 | $50.12 |
Where Virginia sits
The same service costs 2.9 times more in Montana than in Nebraska. 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· 21st of 51
$57.54
MT $100NE $34.67
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.