How much rates vary
Facilitymedian $120 · 10th to 90th $79 to $257Professionalmedian $72 · 10th to 90th $46 to $123
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 $72.44 Median $72.44 Typical High $77.62 | Facility | None | $72.44 | $72.44 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | None | $72.44 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $38.90 | Professional | 52 · Reduced service | $36.31 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $15.49 | Professional | 53 · Discontinued | $14.45 | $14.45 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $11.75 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $128.82 | Facility | None | $120.23 | $120.23 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
CareFirst Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $144.54 | Professional | None | $102.33 | $120.23 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $109.65 | Professional | None | $79.43 | $79.43 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $173.78 | Facility | None | $131.83 | $131.83 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | None | $64.57 | $64.57 | $81.28 |
Sentara Setting Facility Modifier None Typical Low $79.43 Median $134.90 Typical High $10,232.93 | Facility | None | $79.43 | $134.90 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $114.82 | Professional | None | $67.61 | $83.18 | $114.82 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Facility | None | $125.89 | $125.89 | $151.36 |
United Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $64.57 | Professional | None | $44.67 | $58.88 | $64.57 |
Where Virginia sits
The same service costs 2.3 times more in Hawaii than in Utah. 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· 24th of 51
$72.44
HI $107UT $45.71
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.