How much rates vary
Facilitymedian $955 · 10th to 90th $437 to $3,162Professionalmedian $224 · 10th to 90th $107 to $407
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 $190.55 Median $758.58 Typical High $1,819.70 | Facility | None | $190.55 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $346.74 Typical High $575.44 | Professional | None | $112.20 | $346.74 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $169.82 Typical High $288.40 | Professional | 52 · Reduced service | $56.23 | $169.82 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $69.18 Typical High $114.82 | Professional | 53 · Discontinued | $22.39 | $69.18 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $257.04 Typical High $436.52 | Professional | 54 · Surgery only | $83.18 | $257.04 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $51.29 Typical High $87.10 | Professional | 55 · Aftercare only | $16.60 | $51.29 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $34.67 Typical High $57.54 | Professional | 56 · Pre-op care only | $11.22 | $34.67 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $239.88 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $77.62 | $239.88 | $407.38 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,412.54 Typical High $2,398.83 | Facility | None | $436.52 | $1,412.54 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $295.12 | Professional | None | $131.83 | $194.98 | $295.12 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $5,370.32 | Facility | None | $467.74 | $758.58 | $5,370.32 |
United Setting Professional Modifier None Typical Low $104.71 Median $181.97 Typical High $354.81 | Professional | None | $104.71 | $181.97 | $354.81 |
Where Mississippi sits
The same service costs 9.8 times more in Colorado than in North 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.
Physician feeFacility fee
CO $4,589ND $469
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.