How much rates vary
Facilitymedian $2,692 · 10th to 90th $295 to $11,482Professionalmedian $372 · 10th to 90th $151 to $813
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 $251.19 Median $1,905.46 Typical High $7,413.10 | Facility | Global | $251.19 | $1,905.46 | $7,413.10 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $1,819.70 Median $2,187.76 Typical High $5,248.07 | Facility | 50 · Both sides | $1,819.70 | $2,187.76 | $5,248.07 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $75.86 Median $186.21 Typical High $234.42 | Facility | 52 · Reduced service | $75.86 | $186.21 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $75.86 Typical High $93.33 | Facility | 53 · Discontinued | $30.20 | $75.86 | $93.33 |
Aetna Setting Professional Modifier Global Typical Low $151.36 Median $363.08 Typical High $794.33 | Professional | Global | $151.36 | $363.08 | $794.33 |
Ambetter Setting Professional Modifier Global Typical Low $144.54 Median $173.78 Typical High $223.87 | Professional | Global | $144.54 | $173.78 | $223.87 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $213.80 Median $269.15 Typical High $275.42 | Professional | 50 · Both sides | $213.80 | $269.15 | $275.42 |
Anthem BCBS Setting Facility Modifier Global Typical Low $1,513.56 Median $4,073.80 Typical High $15,848.93 | Facility | Global | $1,513.56 | $4,073.80 | $15,848.93 |
Anthem BCBS Setting Professional Modifier Global Typical Low $144.54 Median $436.52 Typical High $1,000.00 | Professional | Global | $144.54 | $436.52 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $218.78 Median $660.69 Typical High $1,445.44 | Professional | 50 · Both sides | $218.78 | $660.69 | $1,445.44 |
CareSource Setting Facility Modifier Global Typical Low $123.03 Median $194.98 Typical High $229.09 | Facility | Global | $123.03 | $194.98 | $229.09 |
CareSource Setting Professional Modifier Global Typical Low $169.82 Median $338.84 Typical High $467.74 | Professional | Global | $169.82 | $338.84 | $467.74 |
Cigna Setting Facility Modifier Global Typical Low $245.47 Median $245.47 Typical High $1,659.59 | Facility | Global | $245.47 | $245.47 | $1,659.59 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 22 · Increased work | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Cigna Setting Professional Modifier Global Typical Low $173.78 Median $467.74 Typical High $4,897.79 | Professional | Global | $173.78 | $467.74 | $4,897.79 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | Global | $32.36 | $32.36 | $33.11 |
United Setting Facility Modifier Global Typical Low $602.56 Median $3,467.37 Typical High $6,456.54 | Facility | Global | $602.56 | $3,467.37 | $6,456.54 |
United Setting Professional Modifier Global Typical Low $158.49 Median $371.54 Typical High $794.33 | Professional | Global | $158.49 | $371.54 | $794.33 |
Where Kentucky sits
The same service costs 8.7 times more in Wyoming 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
WY $8,220MT $943
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.