How much rates vary
Facilitymedian $85 · 10th to 90th $25 to $166Professionalmedian $27 · 10th to 90th $22 to $100
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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $42.66 | Professional | None | $21.88 | $21.88 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $10.96 Typical High $21.38 | Professional | 52 · Reduced service | $10.96 | $10.96 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $8.71 | Professional | 53 · Discontinued | $4.37 | $4.37 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $3.31 Typical High $6.46 | Professional | 55 · Aftercare only | $3.31 | $3.31 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.19 Typical High $4.27 | Professional | 56 · Pre-op care only | $2.19 | $2.19 | $4.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $91.20 Typical High $177.83 | Facility | None | $26.92 | $91.20 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Blue Shield Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $131.83 | Facility | None | $52.48 | $79.43 | $131.83 |
Blue Shield Setting Professional Modifier None Typical Low $60.26 Median $138.04 Typical High $229.09 | Professional | None | $60.26 | $138.04 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Contra Costa Health Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $66.07 | Professional | None | $39.81 | $54.95 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $67.61 | Professional | None | $41.69 | $48.98 | $67.61 |
Lucent Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $512.86 | Professional | None | $363.08 | $363.08 | $512.86 |
Providence Setting Facility Modifier None Typical Low $21.88 Median $46.77 Typical High $83.18 | Facility | None | $21.88 | $46.77 | $83.18 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Sutter Health Plus Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $72.44 | Facility | None | $61.66 | $61.66 | $72.44 |
United Setting Professional Modifier None Typical Low $12.88 Median $26.92 Typical High $52.48 | Professional | None | $12.88 | $26.92 | $52.48 |
Where California sits
The same service costs 3.9 times more in Montana than in Alaska. 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· 44th of 51
$26.92
MT $91.20AK $23.44
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.