How much rates vary
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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $56.23 | Professional | None | $28.84 | $28.84 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $27.54 | Professional | 52 · Reduced service | $14.45 | $14.45 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $10.96 | Professional | 53 · Discontinued | $5.75 | $5.75 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $8.32 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $5.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $128.82 Typical High $257.04 | Facility | None | $30.20 | $128.82 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Blue Shield Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $186.21 | Facility | None | $74.13 | $112.20 | $186.21 |
Blue Shield Setting Professional Modifier None Typical Low $85.11 Median $194.98 Typical High $331.13 | Professional | None | $85.11 | $194.98 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Contra Costa Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | None | $77.62 | $77.62 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $102.33 | Professional | None | $69.18 | $69.18 | $102.33 |
Lucent Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $575.44 | Professional | None | $398.11 | $398.11 | $575.44 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $58.88 Typical High $109.65 | Facility | None | $28.84 | $58.88 | $109.65 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Sutter Health Plus Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Facility | None | $79.43 | $79.43 | $95.50 |
United Setting Professional Modifier None Typical Low $16.98 Median $34.67 Typical High $70.79 | Professional | None | $16.98 | $34.67 | $70.79 |
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
$38.02
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.