How much rates vary
Facilitymedian $52 · 10th to 90th $15 to $102Professionalmedian $17 · 10th to 90th $10 to $62
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 $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $19.95 | Professional | None | $10.47 | $10.47 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $10.00 | Professional | 52 · Reduced service | $5.25 | $5.25 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $4.07 | Professional | 53 · Discontinued | $2.09 | $2.09 | $4.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.58 Typical High $3.02 | Professional | 55 · Aftercare only | $1.58 | $1.58 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.05 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.05 | $1.05 | $2.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $54.95 Typical High $109.65 | Facility | None | $16.22 | $54.95 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Blue Shield Setting Facility Modifier None Typical Low $32.36 Median $47.86 Typical High $81.28 | Facility | None | $32.36 | $47.86 | $81.28 |
Blue Shield Setting Professional Modifier None Typical Low $37.15 Median $85.11 Typical High $141.25 | Professional | None | $37.15 | $85.11 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Contra Costa Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | None | $33.11 | $33.11 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $41.69 | Professional | None | $25.70 | $30.20 | $41.69 |
Lucent Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $194.98 | Professional | None | $169.82 | $169.82 | $194.98 |
Providence Setting Facility Modifier None Typical Low $10.47 Median $25.12 Typical High $47.86 | Facility | None | $10.47 | $25.12 | $47.86 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Sutter Health Plus Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Facility | None | $29.51 | $29.51 | $34.67 |
United Setting Professional Modifier None Typical Low $11.75 Median $12.59 Typical High $32.36 | Professional | None | $11.75 | $12.59 | $32.36 |
Where California sits
The same service costs 3.5 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· 31st of 51
$16.60
HI $37.15NY $10.72
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.