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 $13.18 | Facility | None | $12.30 | $12.30 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | None | $12.30 | $12.30 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.17 Typical High $7.08 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.82 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $1.86 Typical High $2.14 | Professional | 55 · Aftercare only | $1.86 | $1.86 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.23 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.23 | $1.23 | $1.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $21.38 | Facility | None | $20.42 | $20.42 | $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 $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
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 $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $24.55 | Professional | None | $17.38 | $20.42 | $24.55 |
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 $22.39 Median $22.39 Typical High $29.51 | Facility | None | $22.39 | $22.39 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.60 | Professional | None | $10.96 | $10.96 | $16.60 |
Sentara Setting Facility Modifier None Typical Low $13.18 Median $22.91 Typical High $10,232.93 | Facility | None | $13.18 | $22.91 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $19.50 | Professional | None | $11.48 | $14.13 | $19.50 |
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 $8.32 Median $10.00 Typical High $12.30 | Professional | None | $8.32 | $10.00 | $12.30 |
Where Virginia 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.
Virginia· 38th of 51
$12.30
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.