How much rates vary
Facilitymedian $20 · 10th to 90th $5 to $40Professionalmedian $6 · 10th to 90th $5 to $24
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 $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $10.00 | Professional | None | $5.13 | $5.13 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $2.51 Typical High $4.57 | Professional | 52 · Reduced service | $2.51 | $2.51 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.82 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.76 Median $0.76 Typical High $1.38 | Professional | 55 · Aftercare only | $0.76 | $0.76 | $1.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.51 Median $0.51 Typical High $0.91 | Professional | 56 · Pre-op care only | $0.51 | $0.51 | $0.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $21.88 Typical High $42.66 | Facility | None | $5.13 | $21.88 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Blue Shield Setting Facility Modifier None Typical Low $12.59 Median $18.62 Typical High $31.62 | Facility | None | $12.59 | $18.62 | $31.62 |
Blue Shield Setting Professional Modifier None Typical Low $14.45 Median $33.11 Typical High $54.95 | Professional | None | $14.45 | $33.11 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.49 | Professional | None | $12.88 | $12.88 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $21.88 | Professional | None | $11.75 | $11.75 | $21.88 |
Lucent Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | None | $83.18 | $83.18 | $123.03 |
Providence Setting Facility Modifier None Typical Low $5.13 Median $10.96 Typical High $19.95 | Facility | None | $5.13 | $10.96 | $19.95 |
Providence Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Sutter Health Plus Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $16.60 | Facility | None | $14.13 | $14.13 | $16.60 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.17 Typical High $12.30 | Professional | None | $5.01 | $6.17 | $12.30 |
Where California sits
The same service costs 2.7 times more in Montana than in Utah. 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· 48th of 51
$6.46
MT $16.22UT $6.03
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.