How much rates vary
Facilitymedian $129 · 10th to 90th $83 to $275Professionalmedian $78 · 10th to 90th $47 to $126
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 $77.62 Median $77.62 Typical High $83.18 | Facility | None | $77.62 | $77.62 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $83.18 | Professional | None | $77.62 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | 52 · Reduced service | $38.90 | $38.90 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $16.60 | Professional | 53 · Discontinued | $15.49 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $12.30 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $134.90 | Facility | None | $128.82 | $128.82 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
CareFirst Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $154.88 | Professional | None | $109.65 | $128.82 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | None | $83.18 | $83.18 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $186.21 | Facility | None | $141.25 | $141.25 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $75.86 | Professional | None | $66.07 | $69.18 | $75.86 |
Sentara Setting Facility Modifier None Typical Low $83.18 Median $144.54 Typical High $10,232.93 | Facility | None | $83.18 | $144.54 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $123.03 | Professional | None | $72.44 | $89.13 | $123.03 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Facility | None | $131.83 | $131.83 | $158.49 |
United Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $67.61 | Professional | None | $44.67 | $63.10 | $67.61 |
Where Virginia sits
The same service costs 2.5 times more in Montana than in Missouri. 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· 20th of 51
$77.62
MT $115MO $46.77
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.