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 $512.86 Median $4,466.84 Typical High $15,848.93 | Facility | Global | $512.86 | $4,466.84 | $15,848.93 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $199.53 Typical High $1,778.28 | Facility | 54 · Surgery only | $181.97 | $199.53 | $1,778.28 |
Aetna Setting Professional Modifier Global Typical Low $239.88 Median $363.08 Typical High $1,479.11 | Professional | Global | $239.88 | $363.08 | $1,479.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $281.84 Typical High $1,445.44 | Professional | 54 · Surgery only | $186.21 | $281.84 | $1,445.44 |
Ambetter Setting Professional Modifier Global Typical Low $275.42 Median $331.13 Typical High $691.83 | Professional | Global | $275.42 | $331.13 | $691.83 |
Anthem BCBS Setting Facility Modifier Global Typical Low $3,388.44 Median $5,888.44 Typical High $13,489.63 | Facility | Global | $3,388.44 | $5,888.44 | $13,489.63 |
Anthem BCBS Setting Professional Modifier Global Typical Low $288.40 Median $426.58 Typical High $891.25 | Professional | Global | $288.40 | $426.58 | $891.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $549.54 Typical High $794.33 | Professional | 50 · Both sides | $407.38 | $549.54 | $794.33 |
Blue Shield Setting Facility Modifier Global Typical Low $74.13 Median $954.99 Typical High $1,995.26 | Facility | Global | $74.13 | $954.99 | $1,995.26 |
Blue Shield Setting Professional Modifier Global Typical Low $100.00 Median $295.12 Typical High $691.83 | Professional | Global | $100.00 | $295.12 | $691.83 |
Cigna Setting Facility Modifier Global Typical Low $66.07 Median $66.07 Typical High $251.19 | Facility | Global | $66.07 | $66.07 | $251.19 |
Cigna Setting Professional Modifier Global Typical Low $275.42 Median $398.11 Typical High $812.83 | Professional | Global | $275.42 | $398.11 | $812.83 |
Contra Costa Health Setting Professional Modifier Global Typical Low $158.49 Median $478.63 Typical High $602.56 | Professional | Global | $158.49 | $478.63 | $602.56 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $363.08 Median $467.74 Typical High $794.33 | Professional | Global | $363.08 | $467.74 | $794.33 |
Lucent Health Setting Facility Modifier Global Typical Low $54.95 Median $56.23 Typical High $4,786.30 | Facility | Global | $54.95 | $56.23 | $4,786.30 |
Lucent Health Setting Facility Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,445.44 |
Lucent Health Setting Professional Modifier Global Typical Low $2,570.40 Median $3,019.95 Typical High $3,019.95 | Professional | Global | $2,570.40 | $3,019.95 | $3,019.95 |
Molina Setting Professional Modifier Global Typical Low $295.12 Median $295.12 Typical High $489.78 | Professional | Global | $295.12 | $295.12 | $489.78 |
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 $302.00 Median $436.52 Typical High $676.08 | Facility | Global | $302.00 | $436.52 | $676.08 |
Providence Setting Professional Modifier Global Typical Low $269.15 Median $407.38 Typical High $891.25 | Professional | Global | $269.15 | $407.38 | $891.25 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | Global | $1,047.13 | $1,047.13 | $1,096.48 |
The Alliance Setting Professional Modifier Global Typical Low $158.49 Median $234.42 Typical High $457.09 | Professional | Global | $158.49 | $234.42 | $457.09 |
United Setting Facility Modifier Global Typical Low $537.03 Median $1,548.82 Typical High $6,456.54 | Facility | Global | $537.03 | $1,548.82 | $6,456.54 |
United Setting Professional Modifier Global Typical Low $234.42 Median $316.23 Typical High $794.33 | Professional | Global | $234.42 | $316.23 | $794.33 |
United Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $87.10 Typical High $89.13 | Professional | 54 · Surgery only | $85.11 | $87.10 | $89.13 |
Where California sits
The same service costs 2.7 times more in Wisconsin 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.
California· 11th of 51
$513
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.