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 $70.79 Median $70.79 Typical High $74.13 | Facility | None | $70.79 | $70.79 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | None | $70.79 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $37.15 | Professional | 52 · Reduced service | $35.48 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $15.14 | Professional | 53 · Discontinued | $14.13 | $14.13 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $11.22 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Facility | None | $117.49 | $117.49 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
CareFirst Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $138.04 | Professional | None | $97.72 | $117.49 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | None | $75.86 | $75.86 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Facility | None | $125.89 | $125.89 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $81.28 | Professional | None | $57.54 | $63.10 | $81.28 |
Sentara Setting Facility Modifier None Typical Low $75.86 Median $131.83 Typical High $10,232.93 | Facility | None | $75.86 | $131.83 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $112.20 | Professional | None | $66.07 | $79.43 | $112.20 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $138.04 | Facility | None | $117.49 | $117.49 | $138.04 |
United Setting Professional Modifier None Typical Low $34.67 Median $56.23 Typical High $60.26 | Professional | None | $34.67 | $56.23 | $60.26 |
Where Virginia sits
The same service costs 2.4 times more in Hawaii 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· 21st of 51
$70.79
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.