How much rates vary
Facilitymedian $1,380 · 10th to 90th $708 to $3,715Professionalmedian $513 · 10th to 90th $245 to $3,715
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 $436.52 Median $1,862.09 Typical High $5,754.40 | Facility | None | $436.52 | $1,862.09 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $512.86 Typical High $2,344.23 | Professional | None | $245.47 | $512.86 | $2,344.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $251.19 Typical High $1,174.90 | Professional | 52 · Reduced service | $120.23 | $251.19 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $102.33 Typical High $467.74 | Professional | 53 · Discontinued | $48.98 | $102.33 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $380.19 Typical High $1,778.28 | Professional | 54 · Surgery only | $181.97 | $380.19 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $75.86 Typical High $354.81 | Professional | 55 · Aftercare only | $36.31 | $75.86 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $50.12 Typical High $234.42 | Professional | 56 · Pre-op care only | $24.55 | $50.12 | $234.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $2,630.27 | Facility | None | $1,000.00 | $1,445.44 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,548.82 | Facility | None | $758.58 | $1,202.26 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $537.03 Typical High $3,890.45 | Professional | None | $288.40 | $537.03 | $3,890.45 |
Hally Health Setting Professional Modifier None Typical Low $302.00 Median $2,754.23 Typical High $7,943.28 | Professional | None | $302.00 | $2,754.23 | $7,943.28 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $2,884.03 | Professional | None | $281.84 | $302.00 | $2,884.03 |
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 $676.08 Median $1,513.56 Typical High $4,073.80 | Facility | None | $676.08 | $1,513.56 | $4,073.80 |
United Setting Professional Modifier None Typical Low $263.03 Median $512.86 Typical High $4,897.79 | Professional | None | $263.03 | $512.86 | $4,897.79 |
Where Illinois sits
The same service costs 5.7 times more in New York than in Maryland. 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
NY $5,674MD $992
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.