How much rates vary
Facilitymedian $263 · 10th to 90th $76 to $759Professionalmedian $269 · 10th to 90th $120 to $646
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 $75.86 Median $263.03 Typical High $263.03 | Facility | None | $75.86 | $263.03 | $263.03 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $57.54 Median $58.88 Typical High $194.98 | Facility | 54 · Surgery only | $57.54 | $58.88 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $309.03 | Professional | None | $75.86 | $141.25 | $309.03 |
BCBS North Dakota Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $645.65 | Professional | None | $138.04 | $204.17 | $645.65 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $162.18 Median $245.47 Typical High $776.25 | Professional | 22 · Increased work | $162.18 | $245.47 | $776.25 |
BCBS North Dakota Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $141.25 Typical High $457.09 | Professional | 54 · Surgery only | $95.50 | $141.25 | $457.09 |
BCBS North Dakota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $151.36 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $102.33 | $151.36 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $489.78 | Facility | None | $426.58 | $426.58 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $275.42 Typical High $776.25 | Professional | None | $104.71 | $275.42 | $776.25 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $263.03 Typical High $758.58 | Facility | None | $75.86 | $263.03 | $758.58 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $457.09 Typical High $562.34 | Professional | None | $269.15 | $457.09 | $562.34 |
United Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $758.58 | Facility | None | $446.68 | $616.60 | $758.58 |
United Setting Professional Modifier None Typical Low $81.28 Median $204.17 Typical High $489.78 | Professional | None | $81.28 | $204.17 | $489.78 |
Where North Dakota sits
The same service costs 5.8 times more in New York 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
NY $2,983MT $514
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.