How much rates vary
Facilitymedian $2,630 · 10th to 90th $479 to $9,772Professionalmedian $288 · 10th to 90th $141 to $832
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 $380.19 Median $2,570.40 Typical High $9,772.37 | Facility | Global | $380.19 | $2,570.40 | $9,772.37 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $1,819.70 Median $2,570.40 Typical High $4,897.79 | Facility | 50 · Both sides | $1,819.70 | $2,570.40 | $4,897.79 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $97.72 Median $213.80 Typical High $501.19 | Facility | 52 · Reduced service | $97.72 | $213.80 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $85.11 Typical High $199.53 | Facility | 53 · Discontinued | $38.90 | $85.11 | $199.53 |
Aetna Setting Professional Modifier Global Typical Low $128.82 Median $275.42 Typical High $812.83 | Professional | Global | $128.82 | $275.42 | $812.83 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $229.09 Median $831.76 Typical High $1,905.46 | Professional | 50 · Both sides | $229.09 | $831.76 | $1,905.46 |
Ambetter Setting Professional Modifier Global Typical Low $141.25 Median $194.98 Typical High $263.03 | Professional | Global | $141.25 | $194.98 | $263.03 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $147.91 Median $257.04 Typical High $389.05 | Professional | 50 · Both sides | $147.91 | $257.04 | $389.05 |
BCBS Setting Facility Modifier Global Typical Low $1,905.46 Median $4,073.80 Typical High $5,888.44 | Facility | Global | $1,905.46 | $4,073.80 | $5,888.44 |
BCBS Setting Professional Modifier Global Typical Low $181.97 Median $426.58 Typical High $933.25 | Professional | Global | $181.97 | $426.58 | $933.25 |
Cigna Setting Facility Modifier Global Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | Global | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Professional Modifier Global Typical Low $169.82 Median $363.08 Typical High $794.33 | Professional | Global | $169.82 | $363.08 | $794.33 |
Lucent Health 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 |
Lucent Health 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 |
Lucent Health 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 |
Lucent Health Setting Professional Modifier Global Typical Low $4,677.35 Median $4,677.35 Typical High $4,897.79 | Professional | Global | $4,677.35 | $4,677.35 | $4,897.79 |
United Setting Facility Modifier Global Typical Low $1,995.26 Median $3,467.37 Typical High $6,309.57 | Facility | Global | $1,995.26 | $3,467.37 | $6,309.57 |
United Setting Professional Modifier Global Typical Low $151.36 Median $363.08 Typical High $870.96 | Professional | Global | $151.36 | $363.08 | $870.96 |
Where Tennessee 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.