How much rates vary
Facilitymedian $5,495 · 10th to 90th $295 to $12,303Professionalmedian $1,122 · 10th to 90th $214 to $2,630
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 $309.03 Median $5,495.41 Typical High $10,964.78 | Facility | Global | $309.03 | $5,495.41 | $10,964.78 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $117.49 Median $288.40 Typical High $912.01 | Facility | 52 · Reduced service | $117.49 | $288.40 | $912.01 |
Aetna Setting Professional Modifier Global Typical Low $208.93 Median $1,122.02 Typical High $2,570.40 | Professional | Global | $208.93 | $1,122.02 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $602.56 Typical High $831.76 | Professional | 52 · Reduced service | $117.49 | $602.56 | $831.76 |
Ambetter Setting Professional Modifier Global Typical Low $186.21 Median $302.00 Typical High $363.08 | Professional | Global | $186.21 | $302.00 | $363.08 |
BCBS Setting Professional Modifier Global Typical Low $323.59 Median $1,348.96 Typical High $3,162.28 | Professional | Global | $323.59 | $1,348.96 | $3,162.28 |
Cigna Setting Professional Modifier Global Typical Low $288.40 Median $776.25 Typical High $2,511.89 | Professional | Global | $288.40 | $776.25 | $2,511.89 |
Medcost Setting Facility Modifier Global Typical Low $234.42 Median $1,000.00 Typical High $2,041.74 | Facility | Global | $234.42 | $1,000.00 | $2,041.74 |
Oscar Health Setting Facility Modifier Global Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Facility | Global | $9,332.54 | $9,332.54 | $9,332.54 |
United Setting Facility Modifier Global Typical Low $7,079.46 Median $14,454.40 Typical High $26,915.35 | Facility | Global | $7,079.46 | $14,454.40 | $26,915.35 |
United Setting Professional Modifier Global Typical Low $239.88 Median $1,096.48 Typical High $2,344.23 | Professional | Global | $239.88 | $1,096.48 | $2,344.23 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $15,488.17 Typical High $15,488.17 | Facility | Global | $56.23 | $15,488.17 | $15,488.17 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | 52 · Reduced service | $12,589.25 | $12,589.25 | $12,589.25 |
Wellcare Setting Professional Modifier Global Typical Low $8,317.64 Median $9,772.37 Typical High $9,772.37 | Professional | Global | $8,317.64 | $9,772.37 | $9,772.37 |
Where North Carolina sits
The same service costs 12.8 times more in South Dakota than in West Virginia. 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
SD $18,759WV $1,463
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.