How much rates vary
Facilitymedian $10,715 · 10th to 90th $1,698 to $60,256Professionalmedian $1,905 · 10th to 90th $851 to $6,918
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 $1,698.24 Median $15,848.93 Typical High $60,255.96 | Facility | Global | $1,698.24 | $15,848.93 | $60,255.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $1,230.27 Median $2,398.83 Typical High $2,630.27 | Facility | 54 · Surgery only | $1,230.27 | $2,398.83 | $2,630.27 |
Aetna Setting Professional Modifier Global Typical Low $831.76 Median $1,778.28 Typical High $6,918.31 | Professional | Global | $831.76 | $1,778.28 | $6,918.31 |
Aetna Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $426.58 Typical High $1,023.29 | Professional | AS · PA/NP assist | $169.82 | $426.58 | $1,023.29 |
Ambetter Setting Professional Modifier Global Typical Low $275.42 Median $1,698.24 Typical High $2,511.89 | Professional | Global | $275.42 | $1,698.24 | $2,511.89 |
Asuris Northwest Health Setting Facility Modifier Global Typical Low $26,915.35 Median $37,153.52 Typical High $72,443.60 | Facility | Global | $26,915.35 | $37,153.52 | $72,443.60 |
Asuris Northwest Health Setting Facility Modifier 50 · Both sides Typical Low $40,738.03 Median $54,954.09 Typical High $107,151.93 | Facility | 50 · Both sides | $40,738.03 | $54,954.09 | $107,151.93 |
Asuris Northwest Health Setting Professional Modifier Global Typical Low $1,737.80 Median $2,511.89 Typical High $3,548.13 | Professional | Global | $1,737.80 | $2,511.89 | $3,548.13 |
Cigna Setting Facility Modifier Global Typical Low $758.58 Median $870.96 Typical High $26,302.68 | Facility | Global | $758.58 | $870.96 | $26,302.68 |
Cigna Setting Professional Modifier Global Typical Low $1,288.25 Median $2,238.72 Typical High $3,801.89 | Professional | Global | $1,288.25 | $2,238.72 | $3,801.89 |
Kaiser Permanente Setting Facility Modifier Global Typical Low $1,621.81 Median $2,691.53 Typical High $23,988.33 | Facility | Global | $1,621.81 | $2,691.53 | $23,988.33 |
Kaiser Permanente Setting Facility Modifier 50 · Both sides Typical Low $20,892.96 Median $38,904.51 Typical High $61,659.50 | Facility | 50 · Both sides | $20,892.96 | $38,904.51 | $61,659.50 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $1,513.56 Median $2,570.40 Typical High $16,982.44 | Professional | Global | $1,513.56 | $2,570.40 | $16,982.44 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $524.81 | Professional | Global | $32.36 | $33.11 | $524.81 |
Pacific Source Setting Facility Modifier Global Typical Low $1,737.80 Median $2,511.89 Typical High $2,630.27 | Facility | Global | $1,737.80 | $2,511.89 | $2,630.27 |
Premera BCBS Setting Facility Modifier Global Typical Low $1,737.80 Median $1,778.28 Typical High $6,456.54 | Facility | Global | $1,737.80 | $1,778.28 | $6,456.54 |
Premera BCBS Setting Professional Modifier Global Typical Low $1,778.28 Median $2,570.40 Typical High $3,388.44 | Professional | Global | $1,778.28 | $2,570.40 | $3,388.44 |
Regence BlueShield Setting Facility Modifier Global Typical Low $28,183.83 Median $37,153.52 Typical High $70,794.58 | Facility | Global | $28,183.83 | $37,153.52 | $70,794.58 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $42,657.95 Median $54,954.09 Typical High $107,151.93 | Facility | 50 · Both sides | $42,657.95 | $54,954.09 | $107,151.93 |
Regence BlueShield Setting Professional Modifier Global Typical Low $1,737.80 Median $2,511.89 Typical High $3,467.37 | Professional | Global | $1,737.80 | $2,511.89 | $3,467.37 |
United Setting Facility Modifier Global Typical Low $6,309.57 Median $37,153.52 Typical High $72,443.60 | Facility | Global | $6,309.57 | $37,153.52 | $72,443.60 |
United Setting Professional Modifier Global Typical Low $1,412.54 Median $2,187.76 Typical High $3,890.45 | Professional | Global | $1,412.54 | $2,187.76 | $3,890.45 |
Wellpoint Setting Professional Modifier Global Typical Low $1,071.52 Median $1,318.26 Typical High $2,398.83 | Professional | Global | $1,071.52 | $1,318.26 | $2,398.83 |
Where Washington sits
The same service costs 4.8 times more in West Virginia than in Montana. 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
WV $22,644MT $4,724
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.