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 $223.87 Median $223.87 Typical High $239.88 | Facility | None | $223.87 | $223.87 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | None | $223.87 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $44.67 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $38.02 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
CareFirst Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $446.68 | Professional | None | $316.23 | $371.54 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $537.03 | Facility | None | $407.38 | $407.38 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $295.12 | Professional | None | $199.53 | $199.53 | $295.12 |
Sentara Setting Facility Modifier None Typical Low $245.47 Median $416.87 Typical High $10,232.93 | Facility | None | $245.47 | $416.87 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $354.81 | Professional | None | $208.93 | $257.04 | $354.81 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $602.56 | Facility | None | $501.19 | $501.19 | $602.56 |
United Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $208.93 | Professional | None | $173.78 | $181.97 | $208.93 |
Where Virginia sits
The same service costs 4.4 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· 36th of 51
$224
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.