How much rates vary
Facilitymedian $251 · 10th to 90th $76 to $501Professionalmedian $81 · 10th to 90th $50 to $302
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | None | $50.12 | $50.12 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $46.77 | Professional | 52 · Reduced service | $24.55 | $24.55 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $18.62 | Professional | 53 · Discontinued | $10.00 | $10.00 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $14.13 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.01 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.01 | $5.01 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $269.15 Typical High $537.03 | Facility | None | $79.43 | $269.15 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $389.05 | Facility | None | $97.72 | $234.42 | $389.05 |
Blue Shield Setting Professional Modifier None Typical Low $177.83 Median $416.87 Typical High $691.83 | Professional | None | $177.83 | $416.87 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $177.83 | Professional | None | $61.66 | $64.57 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $213.80 | Professional | None | $141.25 | $147.91 | $213.80 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $933.25 | Professional | None | $870.96 | $870.96 | $933.25 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $95.50 Typical High $234.42 | Facility | None | $50.12 | $95.50 | $234.42 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $162.18 | Facility | None | $138.04 | $138.04 | $162.18 |
United Setting Professional Modifier None Typical Low $15.14 Median $60.26 Typical High $117.49 | Professional | None | $15.14 | $60.26 | $117.49 |
Where California sits
The same service costs 4.0 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.
California· 34th of 51
$81.28
HI $209NY $52.48
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.