How much rates vary
Facilitymedian $87 · 10th to 90th $58 to $251Professionalmedian $52 · 10th to 90th $38 to $102
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 $52.48 Median $52.48 Typical High $56.23 | Facility | None | $52.48 | $52.48 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $56.23 | Professional | None | $52.48 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $28.18 | Professional | 52 · Reduced service | $26.30 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $11.22 | Professional | 53 · Discontinued | $10.47 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $8.51 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $5.62 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $93.33 | Facility | None | $87.10 | $87.10 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
CareFirst Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $104.71 | Professional | None | $74.13 | $87.10 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $79.43 | Professional | None | $57.54 | $57.54 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $125.89 | Facility | None | $95.50 | $95.50 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $66.07 | Professional | None | $46.77 | $46.77 | $66.07 |
Sentara Setting Facility Modifier None Typical Low $57.54 Median $100.00 Typical High $10,232.93 | Facility | None | $57.54 | $100.00 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $83.18 | Professional | None | $48.98 | $60.26 | $83.18 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $128.82 | Facility | None | $107.15 | $107.15 | $128.82 |
United Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $47.86 | Professional | None | $36.31 | $42.66 | $47.86 |
Where Virginia sits
The same service costs 2.8 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· 31st of 51
$52.48
MT $100NY $35.48
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.