How much rates vary
Facilitymedian $120 · 10th to 90th $98 to $269Professionalmedian $209 · 10th to 90th $120 to $309
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 $97.72 Median $114.82 Typical High $120.23 | Facility | None | $97.72 | $114.82 | $120.23 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $91.20 | Facility | 54 · Surgery only | $72.44 | $72.44 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $120.23 | Professional | None | $63.10 | $97.72 | $120.23 |
BCBS North Dakota Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $316.23 | Professional | None | $169.82 | $223.87 | $316.23 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $204.17 Median $269.15 Typical High $371.54 | Professional | 22 · Increased work | $204.17 | $269.15 | $371.54 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $158.49 Typical High $218.78 | Professional | 54 · Surgery only | $120.23 | $158.49 | $218.78 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $169.82 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $125.89 | $169.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $229.09 | Facility | None | $199.53 | $199.53 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $316.23 | Professional | None | $158.49 | $223.87 | $316.23 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $131.83 Typical High $269.15 | Facility | None | $97.72 | $131.83 | $269.15 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $229.09 Typical High $707.95 | Professional | None | $128.82 | $229.09 | $707.95 |
United Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $269.15 | Facility | None | $125.89 | $251.19 | $269.15 |
United Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $245.47 | Professional | None | $102.33 | $181.97 | $245.47 |
Where North Dakota sits
The same service costs 18.1 times more in New York than in Kentucky. 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.
Physician feeFacility fee
NY $3,577KY $198
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.