How much rates vary
Facilitymedian $2,455 · 10th to 90th $537 to $11,482Professionalmedian $2,188 · 10th to 90th $447 to $14,454
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 $758.58 Median $1,819.70 Typical High $5,011.87 | Facility | None | $758.58 | $1,819.70 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $1,288.25 Typical High $14,791.08 | Professional | None | $416.87 | $1,288.25 | $14,791.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $645.65 Typical High $7,413.10 | Professional | 52 · Reduced service | $208.93 | $645.65 | $7,413.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $257.04 Typical High $2,951.21 | Professional | 53 · Discontinued | $85.11 | $257.04 | $2,951.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $977.24 Typical High $11,220.18 | Professional | 54 · Surgery only | $316.23 | $977.24 | $11,220.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $194.98 Typical High $2,238.72 | Professional | 55 · Aftercare only | $63.10 | $194.98 | $2,238.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $128.82 Typical High $1,479.11 | Professional | 56 · Pre-op care only | $41.69 | $128.82 | $1,479.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $912.01 Typical High $10,471.29 | Professional | 78 · Unplanned return to OR | $295.12 | $912.01 | $10,471.29 |
BCBS Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $588.84 | Facility | None | $537.03 | $537.03 | $588.84 |
BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $7,244.36 Typical High $11,481.54 | Facility | None | $660.69 | $7,244.36 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $4,168.69 Typical High $10,964.78 | Professional | None | $549.54 | $4,168.69 | $10,964.78 |
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 $1,380.38 Median $3,311.31 Typical High $15,848.93 | Facility | None | $1,380.38 | $3,311.31 | $15,848.93 |
United Setting Professional Modifier None Typical Low $446.68 Median $5,888.44 Typical High $14,125.38 | Professional | None | $446.68 | $5,888.44 | $14,125.38 |
Where Mississippi sits
The same service costs 4.1 times more in Iowa than in Delaware. 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
IA $18,453DE $4,539
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.