How much rates vary
Facilitymedian $1,000 · 10th to 90th $76 to $6,310Professionalmedian $7,586 · 10th to 90th $4,074 to $7,586
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 $3,162.28 Median $6,309.57 Typical High $10,964.78 | Facility | None | $3,162.28 | $6,309.57 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $7,585.78 Typical High $7,585.78 | Professional | None | $3,162.28 | $7,585.78 | $7,585.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,454.71 Median $3,801.89 Typical High $3,801.89 | Professional | 52 · Reduced service | $2,454.71 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,513.56 Typical High $1,513.56 | Professional | 53 · Discontinued | $1,000.00 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,715.35 Median $5,623.41 Typical High $5,623.41 | Professional | 54 · Surgery only | $3,715.35 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $1,122.02 Typical High $1,122.02 | Professional | 55 · Aftercare only | $741.31 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $501.19 Median $758.58 Typical High $758.58 | Professional | 56 · Pre-op care only | $501.19 | $758.58 | $758.58 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $831.76 Typical High $4,897.79 | Facility | None | $54.95 | $831.76 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $42,657.95 Median $42,657.95 Typical High $42,657.95 | Professional | None | $42,657.95 | $42,657.95 | $42,657.95 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
Where Kansas sits
The same service costs 257.0 times more in Wisconsin than in Hawaii. 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.
Kansas· 4th of 51
$7,586
WI $7,586HI $29.51
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.