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 $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $15.85 | Professional | None | $8.13 | $8.13 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.07 Typical High $7.41 | Professional | 52 · Reduced service | $4.07 | $4.07 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $2.95 | Professional | 53 · Discontinued | $1.62 | $1.62 | $2.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.23 Typical High $2.24 | Professional | 55 · Aftercare only | $1.23 | $1.23 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.81 Typical High $1.48 | Professional | 56 · Pre-op care only | $0.81 | $0.81 | $1.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $33.11 Typical High $66.07 | Facility | None | $9.77 | $33.11 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Blue Shield Setting Facility Modifier None Typical Low $19.05 Median $28.84 Typical High $47.86 | Facility | None | $19.05 | $28.84 | $47.86 |
Blue Shield Setting Professional Modifier None Typical Low $21.88 Median $51.29 Typical High $85.11 | Professional | None | $21.88 | $51.29 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Contra Costa Health Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $64.57 | Professional | None | $19.95 | $21.88 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $60.26 | Professional | None | $18.20 | $18.20 | $60.26 |
Lucent Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | None | $125.89 | $125.89 | $151.36 |
Providence Setting Facility Modifier None Typical Low $8.13 Median $16.98 Typical High $30.90 | Facility | None | $8.13 | $16.98 | $30.90 |
Providence Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Sutter Health Plus Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Facility | None | $22.91 | $22.91 | $26.92 |
United Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $23.99 | Professional | None | $9.33 | $11.75 | $23.99 |
Where California sits
The same service costs 3.0 times more in Montana 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· 43rd of 51
$10.00
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.