How much rates vary
Facilitymedian $4,169 · 10th to 90th $372 to $8,128Professionalmedian $355 · 10th to 90th $129 to $1,023
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 $398.11 Median $4,168.69 Typical High $8,128.31 | Facility | Global | $398.11 | $4,168.69 | $8,128.31 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $4,786.30 Median $6,606.93 Typical High $9,120.11 | Facility | 50 · Both sides | $4,786.30 | $6,606.93 | $9,120.11 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $75.86 Median $275.42 Typical High $891.25 | Facility | 52 · Reduced service | $75.86 | $275.42 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $109.65 Typical High $354.81 | Facility | 53 · Discontinued | $30.20 | $109.65 | $354.81 |
Aetna Setting Professional Modifier Global Typical Low $97.72 Median $295.12 Typical High $1,000.00 | Professional | Global | $97.72 | $295.12 | $1,000.00 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $630.96 Typical High $1,778.28 | Professional | 50 · Both sides | $117.49 | $630.96 | $1,778.28 |
Ambetter Setting Professional Modifier Global Typical Low $97.72 Median $194.98 Typical High $812.83 | Professional | Global | $97.72 | $194.98 | $812.83 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $223.87 Median $323.59 Typical High $1,318.26 | Professional | 50 · Both sides | $223.87 | $323.59 | $1,318.26 |
BCBS Setting Professional Modifier Global Typical Low $204.17 Median $446.68 Typical High $1,318.26 | Professional | Global | $204.17 | $446.68 | $1,318.26 |
Cigna Setting Professional Modifier Global Typical Low $194.98 Median $436.52 Typical High $933.25 | Professional | Global | $194.98 | $436.52 | $933.25 |
Medcost Setting Facility Modifier Global Typical Low $158.49 Median $398.11 Typical High $831.76 | Facility | Global | $158.49 | $398.11 | $831.76 |
Medcost Setting Professional Modifier Global Typical Low $371.54 Median $371.54 Typical High $1,174.90 | Professional | Global | $371.54 | $371.54 | $1,174.90 |
Oscar Health Setting Facility Modifier Global Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Facility | Global | $10,232.93 | $10,232.93 | $10,232.93 |
United Setting Facility Modifier Global Typical Low $2,951.21 Median $6,918.31 Typical High $12,882.50 | Facility | Global | $2,951.21 | $6,918.31 | $12,882.50 |
United Setting Professional Modifier Global Typical Low $154.88 Median $416.87 Typical High $831.76 | Professional | Global | $154.88 | $416.87 | $831.76 |
Wellcare Setting Facility Modifier Global Typical Low $9,772.37 Median $9,772.37 Typical High $28,840.32 | Facility | Global | $9,772.37 | $9,772.37 | $28,840.32 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | 52 · Reduced service | $7,762.47 | $7,762.47 | $7,762.47 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | 53 · Discontinued | $1,949.84 | $1,949.84 | $1,949.84 |
Wellcare Setting Professional Modifier Global Typical Low $4,677.35 Median $4,897.79 Typical High $4,897.79 | Professional | Global | $4,677.35 | $4,897.79 | $4,897.79 |
Where North Carolina 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.