How much rates vary
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 $138.04 Median $138.04 Typical High $147.91 | Facility | None | $138.04 | $138.04 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $147.91 | Professional | None | $138.04 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | 52 · Reduced service | $69.18 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $29.51 | Professional | 53 · Discontinued | $27.54 | $27.54 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $14.79 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $245.47 | Facility | None | $229.09 | $229.09 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
CareFirst Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $275.42 | Professional | None | $194.98 | $229.09 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | None | $151.36 | $151.36 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $331.13 | Facility | None | $251.19 | $251.19 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | None | $123.03 | $123.03 | $141.25 |
Sentara Setting Facility Modifier None Typical Low $151.36 Median $257.04 Typical High $10,232.93 | Facility | None | $151.36 | $257.04 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $218.78 | Professional | None | $128.82 | $158.49 | $218.78 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $288.40 | Facility | None | $239.88 | $239.88 | $288.40 |
United Setting Professional Modifier None Typical Low $44.67 Median $112.20 Typical High $120.23 | Professional | None | $44.67 | $112.20 | $120.23 |
Where Virginia sits
The same service costs 5.0 times more in Hawaii than in Florida. 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
$138
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.