How much rates vary
Facilitymedian $3,467 · 10th to 90th $525 to $8,128Professionalmedian $295 · 10th to 90th $141 to $794
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 $512.86 Median $3,467.37 Typical High $8,128.31 | Facility | Global | $512.86 | $3,467.37 | $8,128.31 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $831.76 Median $1,737.80 Typical High $4,265.80 | Facility | 50 · Both sides | $831.76 | $1,737.80 | $4,265.80 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $79.43 Median $257.04 Typical High $741.31 | Facility | 52 · Reduced service | $79.43 | $257.04 | $741.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $102.33 Typical High $295.12 | Facility | 53 · Discontinued | $32.36 | $102.33 | $295.12 |
Aetna Setting Professional Modifier Global Typical Low $144.54 Median $295.12 Typical High $1,023.29 | Professional | Global | $144.54 | $295.12 | $1,023.29 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $199.53 Median $446.68 Typical High $512.86 | Professional | 50 · Both sides | $199.53 | $446.68 | $512.86 |
Ambetter Setting Professional Modifier Global Typical Low $72.44 Median $138.04 Typical High $190.55 | Professional | Global | $72.44 | $138.04 | $190.55 |
Anthem BCBS Setting Facility Modifier Global Typical Low $1,698.24 Median $3,548.13 Typical High $15,135.61 | Facility | Global | $1,698.24 | $3,548.13 | $15,135.61 |
Anthem BCBS Setting Professional Modifier Global Typical Low $141.25 Median $331.13 Typical High $575.44 | Professional | Global | $141.25 | $331.13 | $575.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $213.80 Median $501.19 Typical High $870.96 | Professional | 50 · Both sides | $213.80 | $501.19 | $870.96 |
CareSource Setting Facility Modifier Global Typical Low $147.91 Median $169.82 Typical High $199.53 | Facility | Global | $147.91 | $169.82 | $199.53 |
CareSource Setting Professional Modifier Global Typical Low $407.38 Median $426.58 Typical High $457.09 | Professional | Global | $407.38 | $426.58 | $457.09 |
Cigna Setting Facility Modifier Global Typical Low $245.47 Median $245.47 Typical High $21,379.62 | Facility | Global | $245.47 | $245.47 | $21,379.62 |
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 $162.18 Median $309.03 Typical High $741.31 | Professional | Global | $162.18 | $309.03 | $741.31 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $1,202.26 Median $3,019.95 Typical High $7,943.28 | Facility | Global | $1,202.26 | $3,019.95 | $7,943.28 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $165.96 Median $309.03 Typical High $724.44 | Professional | Global | $165.96 | $309.03 | $724.44 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $112.20 | Professional | Global | $32.36 | $33.11 | $112.20 |
SummaCare Setting Professional Modifier Global Typical Low $144.54 Median $363.08 Typical High $758.58 | Professional | Global | $144.54 | $363.08 | $758.58 |
United Setting Facility Modifier Global Typical Low $2,570.40 Median $4,168.69 Typical High $7,413.10 | Facility | Global | $2,570.40 | $4,168.69 | $7,413.10 |
United Setting Professional Modifier Global Typical Low $151.36 Median $346.74 Typical High $707.95 | Professional | Global | $151.36 | $346.74 | $707.95 |
Where Ohio 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.