How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $234.42 Median $234.42 Typical High $630.96 | Facility | None | $234.42 | $234.42 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $407.38 | Professional | None | $234.42 | $234.42 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $204.17 | Professional | 52 · Reduced service | $117.49 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $81.28 | Professional | 53 · Discontinued | $46.77 | $46.77 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $60.26 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $40.74 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $346.74 | Professional | None | $295.12 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None | $30.20 | $30.20 | $44.67 |
Where Kentucky sits
The same service costs 43.7 times more in North Carolina than in Vermont. 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.
Kentucky· 37th of 51
$295
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.