How much rates vary
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 $61.66 Median $61.66 Typical High $66.07 | Facility | None | $61.66 | $61.66 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | None | $61.66 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | 52 · Reduced service | $30.90 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $13.18 | Professional | 53 · Discontinued | $12.30 | $12.30 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $10.00 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $109.65 | Facility | None | $102.33 | $102.33 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
CareFirst Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $123.03 | Professional | None | $87.10 | $102.33 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $93.33 | Professional | None | $67.61 | $67.61 | $93.33 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $147.91 | Facility | None | $112.20 | $112.20 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | None | $54.95 | $54.95 | $67.61 |
Sentara Setting Facility Modifier None Typical Low $67.61 Median $114.82 Typical High $10,232.93 | Facility | None | $67.61 | $114.82 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $97.72 | Professional | None | $57.54 | $70.79 | $97.72 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
United Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $53.70 | Professional | None | $34.67 | $50.12 | $53.70 |
Where Virginia sits
The same service costs 2.6 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· 21st of 51
$61.66
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.