How much rates vary
Facilitymedian $562 · 10th to 90th $525 to $562Professionalmedian $105 · 10th to 90th $59 to $447
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 $120.23 Median $141.25 Typical High $162.18 | Facility | None | $120.23 | $141.25 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $141.25 | Professional | None | $104.71 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $52.48 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.99 Typical High $28.84 | Professional | 53 · Discontinued | $21.38 | $23.99 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $18.20 Typical High $21.38 | Professional | 55 · Aftercare only | $15.85 | $18.20 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $12.02 Typical High $14.45 | Professional | 56 · Pre-op care only | $10.47 | $12.02 | $14.45 |
BCBS Setting Facility Modifier None Typical Low $524.81 Median $562.34 Typical High $562.34 | Facility | None | $524.81 | $562.34 | $562.34 |
BCBS Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $288.40 | Facility | None | $107.15 | $134.90 | $288.40 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $707.95 | Professional | None | $60.26 | $70.79 | $707.95 |
United Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | None | $50.12 | $70.79 | $70.79 |
Where Kansas sits
The same service costs 3.0 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.
Kansas· 25th of 51
$105
HI $178NY $58.88
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.