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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $104.71 | Professional | None | $58.88 | $58.88 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $52.48 | Professional | 52 · Reduced service | $28.84 | $28.84 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $20.89 | Professional | 53 · Discontinued | $11.75 | $11.75 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $15.85 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $295.12 Typical High $588.84 | Facility | None | $69.18 | $295.12 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Blue Shield Setting Facility Modifier None Typical Low $104.71 Median $257.04 Typical High $426.58 | Facility | None | $104.71 | $257.04 | $426.58 |
Blue Shield Setting Professional Modifier None Typical Low $194.98 Median $457.09 Typical High $758.58 | Professional | None | $194.98 | $457.09 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $194.98 | Professional | None | $64.57 | $93.33 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $223.87 | Professional | None | $138.04 | $162.18 | $223.87 |
Lucent Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,318.26 | Professional | None | $870.96 | $870.96 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $257.04 | Facility | None | $58.88 | $87.10 | $257.04 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $190.55 | Facility | None | $162.18 | $162.18 | $190.55 |
United Setting Professional Modifier None Typical Low $15.14 Median $70.79 Typical High $134.90 | Professional | None | $15.14 | $70.79 | $134.90 |
Where California sits
The same service costs 3.0 times more in Hawaii than in Indiana. 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· 35th of 51
$89.13
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.