How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $269.15 Median $2,187.76 Typical High $12,022.64 | Facility | Global | $269.15 | $2,187.76 | $12,022.64 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $338.84 Median $1,000.00 Typical High $3,090.30 | Facility | 50 · Both sides | $338.84 | $1,000.00 | $3,090.30 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $22.91 Median $37.15 Typical High $208.93 | Facility | 52 · Reduced service | $22.91 | $37.15 | $208.93 |
Aetna Setting Professional Modifier Global Typical Low $45.71 Median $79.43 Typical High $263.03 | Professional | Global | $45.71 | $79.43 | $263.03 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $75.86 Median $154.88 Typical High $446.68 | Professional | 50 · Both sides | $75.86 | $154.88 | $446.68 |
Ambetter Setting Professional Modifier Global Typical Low $41.69 Median $69.18 Typical High $117.49 | Professional | Global | $41.69 | $69.18 | $117.49 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $69.18 Median $102.33 Typical High $177.83 | Professional | 50 · Both sides | $69.18 | $102.33 | $177.83 |
Anthem BCBS Setting Facility Modifier Global Typical Low $4,570.88 Median $7,762.47 Typical High $15,848.93 | Facility | Global | $4,570.88 | $7,762.47 | $15,848.93 |
Anthem BCBS Setting Professional Modifier Global Typical Low $58.88 Median $93.33 Typical High $173.78 | Professional | Global | $58.88 | $93.33 | $173.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $97.72 Typical High $173.78 | Professional | 50 · Both sides | $67.61 | $97.72 | $173.78 |
Blue Shield Setting Facility Modifier Global Typical Low $75.86 Median $954.99 Typical High $1,949.84 | Facility | Global | $75.86 | $954.99 | $1,949.84 |
Blue Shield Setting Professional Modifier Global Typical Low $52.48 Median $87.10 Typical High $134.90 | Professional | Global | $52.48 | $87.10 | $134.90 |
Cigna Setting Facility Modifier Global Typical Low $66.07 Median $66.07 Typical High $1,659.59 | Facility | Global | $66.07 | $66.07 | $1,659.59 |
Cigna Setting Professional Modifier Global Typical Low $50.12 Median $74.13 Typical High $138.04 | Professional | Global | $50.12 | $74.13 | $138.04 |
Contra Costa Health Setting Professional Modifier Global Typical Low $43.65 Median $53.70 Typical High $102.33 | Professional | Global | $43.65 | $53.70 | $102.33 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $40.74 Median $72.44 Typical High $134.90 | Professional | Global | $40.74 | $72.44 | $134.90 |
Lucent Health Setting Facility Modifier Global Typical Low $1,288.25 Median $15,135.61 Typical High $15,135.61 | Facility | Global | $1,288.25 | $15,135.61 | $15,135.61 |
Lucent Health Setting Facility Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Lucent Health Setting Professional Modifier Global Typical Low $81.28 Median $478.63 Typical High $549.54 | Professional | Global | $81.28 | $478.63 | $549.54 |
Molina Setting Professional Modifier Global Typical Low $56.23 Median $56.23 Typical High $93.33 | Professional | Global | $56.23 | $56.23 | $93.33 |
Optum Setting Professional Modifier Global Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | Global | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier Global Typical Low $45.71 Median $72.44 Typical High $120.23 | Facility | Global | $45.71 | $72.44 | $120.23 |
Providence Setting Professional Modifier Global Typical Low $50.12 Median $77.62 Typical High $144.54 | Professional | Global | $50.12 | $77.62 | $144.54 |
Sutter Health Plus Setting Facility Modifier Global Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | Global | $616.60 | $616.60 | $616.60 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $147.91 Median $147.91 Typical High $204.17 | Professional | Global | $147.91 | $147.91 | $204.17 |
The Alliance Setting Professional Modifier Global Typical Low $39.81 Median $64.57 Typical High $95.50 | Professional | Global | $39.81 | $64.57 | $95.50 |
United Setting Facility Modifier Global Typical Low $549.54 Median $1,513.56 Typical High $6,025.60 | Facility | Global | $549.54 | $1,513.56 | $6,025.60 |
United Setting Professional Modifier Global Typical Low $40.74 Median $63.10 Typical High $131.83 | Professional | Global | $40.74 | $63.10 | $131.83 |
United Setting Professional Modifier 50 · Both sides Typical Low $79.43 Median $85.11 Typical High $147.91 | Professional | 50 · Both sides | $79.43 | $85.11 | $147.91 |
Where California sits
The same service costs 2.2 times more in Wisconsin than in South Dakota. 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· 11th of 51
$87.10
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.