How much rates vary
Facilitymedian $72 · 10th to 90th $48 to $155Professionalmedian $44 · 10th to 90th $26 to $69
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 $43.65 Median $43.65 Typical High $46.77 | Facility | None | $43.65 | $43.65 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | None | $43.65 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | 52 · Reduced service | $21.88 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $8.71 | $8.71 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $7.08 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.68 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $4.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Facility | None | $72.44 | $72.44 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
CareFirst Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $87.10 | Professional | None | $61.66 | $72.44 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | None | $47.86 | $47.86 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $104.71 | Facility | None | $79.43 | $79.43 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | None | $38.90 | $38.90 | $39.81 |
Sentara Setting Facility Modifier None Typical Low $47.86 Median $81.28 Typical High $10,232.93 | Facility | None | $47.86 | $81.28 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $69.18 | Professional | None | $40.74 | $50.12 | $69.18 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $87.10 | Facility | None | $72.44 | $72.44 | $87.10 |
United Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $39.81 | Professional | None | $26.92 | $35.48 | $39.81 |
Where Virginia 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.
Virginia· 21st of 51
$43.65
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.