How much rates vary
Facilitymedian $123 · 10th to 90th $81 to $263Professionalmedian $74 · 10th to 90th $52 to $141
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 $74.13 Median $74.13 Typical High $79.43 | Facility | None | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | None | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $37.15 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $12.02 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $131.83 | Facility | None | $123.03 | $123.03 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
CareFirst Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $147.91 | Professional | None | $104.71 | $123.03 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $112.20 | Professional | None | $81.28 | $81.28 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $177.83 | Facility | None | $134.90 | $134.90 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $87.10 | Professional | None | $64.57 | $66.07 | $87.10 |
Sentara Setting Facility Modifier None Typical Low $81.28 Median $138.04 Typical High $10,232.93 | Facility | None | $81.28 | $138.04 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $117.49 | Professional | None | $69.18 | $85.11 | $117.49 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $173.78 | Facility | None | $147.91 | $147.91 | $173.78 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $66.07 | Professional | None | $44.67 | $60.26 | $66.07 |
Where Virginia sits
The same service costs 4.2 times more in Hawaii than in New York. 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· 35th of 51
$74.13
HI $191NY $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.