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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $63.10 | Professional | None | $32.36 | $32.36 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $31.62 | Professional | 52 · Reduced service | $15.85 | $15.85 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $12.59 | Professional | 53 · Discontinued | $6.46 | $6.46 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $9.33 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $6.31 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $147.91 Typical High $288.40 | Facility | None | $42.66 | $147.91 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Blue Shield Setting Facility Modifier None Typical Low $85.11 Median $125.89 Typical High $213.80 | Facility | None | $85.11 | $125.89 | $213.80 |
Blue Shield Setting Professional Modifier None Typical Low $97.72 Median $223.87 Typical High $371.54 | Professional | None | $97.72 | $223.87 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Contra Costa Health Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $97.72 | Professional | None | $39.81 | $50.12 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $112.20 | Professional | None | $69.18 | $79.43 | $112.20 |
Lucent Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $691.83 | Professional | None | $446.68 | $446.68 | $691.83 |
Providence Setting Facility Modifier None Typical Low $32.36 Median $58.88 Typical High $125.89 | Facility | None | $32.36 | $58.88 | $125.89 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Sutter Health Plus Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Facility | None | $89.13 | $89.13 | $104.71 |
United Setting Professional Modifier None Typical Low $12.88 Median $38.90 Typical High $74.13 | Professional | None | $12.88 | $38.90 | $74.13 |
Where California sits
The same service costs 2.6 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.
California· 43rd of 51
$43.65
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.