How much rates vary
Facilitymedian $1,514 · 10th to 90th $209 to $6,166Professionalmedian $427 · 10th to 90th $151 to $2,138
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 $416.87 Median $2,290.87 Typical High $6,456.54 | Facility | Global | $416.87 | $2,290.87 | $6,456.54 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $74.13 Median $302.00 Typical High $1,949.84 | Facility | 52 · Reduced service | $74.13 | $302.00 | $1,949.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $120.23 Typical High $776.25 | Facility | 53 · Discontinued | $30.20 | $120.23 | $776.25 |
Aetna Setting Professional Modifier Global Typical Low $141.25 Median $331.13 Typical High $1,698.24 | Professional | Global | $141.25 | $331.13 | $1,698.24 |
Ambetter Setting Professional Modifier Global Typical Low $117.49 Median $165.96 Typical High $1,122.02 | Professional | Global | $117.49 | $165.96 | $1,122.02 |
BCBS Setting Facility Modifier Global Typical Low $794.33 Median $912.01 Typical High $1,023.29 | Facility | Global | $794.33 | $912.01 | $1,023.29 |
BCBS Setting Professional Modifier Global Typical Low $181.97 Median $457.09 Typical High $2,818.38 | Professional | Global | $181.97 | $457.09 | $2,818.38 |
Cigna Setting Facility Modifier Global Typical Low $489.78 Median $1,000.00 Typical High $1,584.89 | Facility | Global | $489.78 | $1,000.00 | $1,584.89 |
Cigna Setting Professional Modifier Global Typical Low $181.97 Median $331.13 Typical High $2,089.30 | Professional | Global | $181.97 | $331.13 | $2,089.30 |
Medcost Setting Professional Modifier Global Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | Global | $275.42 | $275.42 | $275.42 |
Medcost Setting Facility Modifier Global Typical Low $151.36 Median $288.40 Typical High $1,698.24 | Facility | Global | $151.36 | $288.40 | $1,698.24 |
Medcost Setting Professional Modifier Global Typical Low $223.87 Median $223.87 Typical High $2,818.38 | Professional | Global | $223.87 | $223.87 | $2,818.38 |
Oscar Health Setting Professional Modifier Global Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | Global | $218.78 | $218.78 | $229.09 |
United Setting Facility Modifier Global Typical Low $398.11 Median $1,995.26 Typical High $6,309.57 | Facility | Global | $398.11 | $1,995.26 | $6,309.57 |
United Setting Professional Modifier Global Typical Low $144.54 Median $245.47 Typical High $1,513.56 | Professional | Global | $144.54 | $245.47 | $1,513.56 |
Wellcare Setting Facility Modifier Global Typical Low $5,011.87 Median $5,011.87 Typical High $28,840.32 | Facility | Global | $5,011.87 | $5,011.87 | $28,840.32 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | 52 · Reduced service | $3,981.07 | $3,981.07 | $3,981.07 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Wellcare Setting Professional Modifier Global Typical Low $7,413.10 Median $7,413.10 Typical High $8,709.64 | Professional | Global | $7,413.10 | $7,413.10 | $8,709.64 |
Where North Carolina sits
The same service costs 4.6 times more in California 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
CA $5,438MT $1,175
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.