How much rates vary
Facilitymedian $32 · 10th to 90th $9 to $62Professionalmedian $10 · 10th to 90th $8 to $38
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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $16.98 | Professional | None | $8.32 | $8.32 | $16.98 |
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 $1.66 Median $1.66 Typical High $3.02 | Professional | 53 · Discontinued | $1.66 | $1.66 | $3.02 |
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 $10.00 Median $33.88 Typical High $67.61 | Facility | None | $10.00 | $33.88 | $67.61 |
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 $19.50 Median $29.51 Typical High $48.98 | Facility | None | $19.50 | $29.51 | $48.98 |
Blue Shield Setting Professional Modifier None Typical Low $22.39 Median $51.29 Typical High $87.10 | Professional | None | $22.39 | $51.29 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Contra Costa Health Setting Professional Modifier None Typical Low $9.33 Median $14.13 Typical High $24.55 | Professional | None | $9.33 | $14.13 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $26.30 | Professional | None | $18.20 | $18.20 | $26.30 |
Lucent Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $151.36 | Professional | None | $134.90 | $134.90 | $151.36 |
Providence Setting Facility Modifier None Typical Low $8.32 Median $17.38 Typical High $30.90 | Facility | None | $8.32 | $17.38 | $30.90 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Sutter Health Plus Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
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 $6.03 Median $10.00 Typical High $19.50 | Professional | None | $6.03 | $10.00 | $19.50 |
Where California sits
The same service costs 3.2 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· 47th of 51
$10.00
MT $26.92NY $8.32
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.