How much rates vary
Facilitymedian $14 · 10th to 90th $9 to $42Professionalmedian $9 · 10th to 90th $6 to $16
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 $8.71 Median $8.71 Typical High $9.12 | Facility | None | $8.71 | $8.71 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $9.55 | Professional | None | $8.71 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.37 Typical High $4.79 | Professional | 52 · Reduced service | $4.37 | $4.37 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $1.91 | Professional | 53 · Discontinued | $1.74 | $1.74 | $1.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.29 Typical High $1.45 | Professional | 55 · Aftercare only | $1.29 | $1.29 | $1.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $0.87 Typical High $0.95 | Professional | 56 · Pre-op care only | $0.87 | $0.87 | $0.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $15.14 | Facility | None | $14.13 | $14.13 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
CareFirst Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $16.98 | Professional | None | $12.02 | $14.13 | $16.98 |
Medcost Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $13.18 | Professional | None | $9.33 | $9.33 | $13.18 |
Medcost Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $20.89 | Facility | None | $15.49 | $15.49 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $1.00 Median $7.59 Typical High $11.22 | Professional | None | $1.00 | $7.59 | $11.22 |
Sentara Setting Facility Modifier None Typical Low $9.33 Median $16.60 Typical High $10,232.93 | Facility | None | $9.33 | $16.60 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $13.80 | Professional | None | $8.13 | $9.77 | $13.80 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Facility | None | $16.60 | $16.60 | $19.95 |
United Setting Professional Modifier None Typical Low $5.89 Median $6.92 Typical High $8.51 | Professional | None | $5.89 | $6.92 | $8.51 |
Where Virginia 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.
Virginia· 31st of 51
$8.71
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.