How much rates vary
Facilitymedian $20 · 10th to 90th $13 to $44Professionalmedian $12 · 10th to 90th $9 to $26
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 $12.30 Median $12.30 Typical High $12.88 | Facility | None | $12.30 | $12.30 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $15.85 | Professional | None | $12.30 | $12.30 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.03 Typical High $7.59 | Professional | 52 · Reduced service | $6.03 | $6.03 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $3.09 | Professional | 53 · Discontinued | $2.45 | $2.45 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $1.82 Typical High $2.29 | Professional | 55 · Aftercare only | $1.82 | $1.82 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.23 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.23 | $1.23 | $1.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $21.38 | Facility | None | $19.95 | $19.95 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
CareFirst Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $23.99 | Professional | None | $16.98 | $19.95 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $18.62 | Professional | None | $13.18 | $13.18 | $18.62 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $28.84 | Facility | None | $21.88 | $21.88 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $19.95 | Professional | None | $10.72 | $10.72 | $19.95 |
Sentara Setting Facility Modifier None Typical Low $13.18 Median $22.39 Typical High $10,232.93 | Facility | None | $13.18 | $22.39 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $19.05 | Professional | None | $11.48 | $13.80 | $19.05 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Facility | None | $26.92 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $8.91 Median $9.77 Typical High $12.59 | Professional | None | $8.91 | $9.77 | $12.59 |
Where Virginia 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.
Virginia· 36th of 51
$12.30
MT $25.12NY $8.51
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.