How much rates vary
Facilitymedian $78 · 10th to 90th $50 to $224Professionalmedian $47 · 10th to 90th $34 to $91
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 $46.77 Median $46.77 Typical High $50.12 | Facility | None | $46.77 | $46.77 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $50.12 | Professional | None | $46.77 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $23.44 Typical High $25.12 | Professional | 52 · Reduced service | $23.44 | $23.44 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $10.00 | Professional | 53 · Discontinued | $9.33 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $7.59 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $5.01 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $81.28 | Facility | None | $77.62 | $77.62 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
CareFirst Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $93.33 | Professional | None | $66.07 | $77.62 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $112.20 | Facility | None | $85.11 | $85.11 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | None | $41.69 | $41.69 | $58.88 |
Sentara Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $10,232.93 | Facility | None | $50.12 | $89.13 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $74.13 | Professional | None | $43.65 | $53.70 | $74.13 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $112.20 | Facility | None | $95.50 | $95.50 | $112.20 |
United Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $44.67 | Professional | None | $32.36 | $38.02 | $44.67 |
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· 33rd of 51
$46.77
MT $100NY $31.62
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.