How much rates vary
Facilitymedian $776 · 10th to 90th $417 to $2,399Professionalmedian $200 · 10th to 90th $158 to $479
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $165.96 Median $478.63 Typical High $7,244.36 | Facility | None | $165.96 | $478.63 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $316.23 Typical High $512.86 | Professional | None | $165.96 | $316.23 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $107.15 Typical High $251.19 | Professional | 52 · Reduced service | $83.18 | $107.15 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $43.65 Typical High $100.00 | Professional | 53 · Discontinued | $33.88 | $43.65 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $162.18 Typical High $380.19 | Professional | 54 · Surgery only | $125.89 | $162.18 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $32.36 Typical High $75.86 | Professional | 55 · Aftercare only | $25.12 | $32.36 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $21.88 Typical High $50.12 | Professional | 56 · Pre-op care only | $16.60 | $21.88 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,202.26 Typical High $1,778.28 | Facility | None | $562.34 | $1,202.26 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $478.63 | Professional | None | $162.18 | $177.83 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Facility Modifier None Typical Low $416.87 Median $616.60 Typical High $2,398.83 | Facility | None | $416.87 | $616.60 | $2,398.83 |
United Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $436.52 | Professional | None | $144.54 | $208.93 | $436.52 |
Where Delaware sits
The same service costs 5.4 times more in Colorado 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
CO $4,173WV $767
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.