How much rates vary
Facilitymedian $501 · 10th to 90th $324 to $832Professionalmedian $132 · 10th to 90th $79 to $214
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 $323.59 Median $501.19 Typical High $831.76 | Facility | Global | $323.59 | $501.19 | $831.76 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $46.77 | Facility | 52 · Reduced service | $30.20 | $30.20 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $18.62 | Facility | 53 · Discontinued | $12.02 | $12.02 | $18.62 |
Aetna Setting Professional Modifier Global Typical Low $79.43 Median $131.83 Typical High $213.80 | Professional | Global | $79.43 | $131.83 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $51.29 Typical High $70.79 | Professional | 52 · Reduced service | $30.20 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $19.50 Typical High $27.54 | Professional | 53 · Discontinued | $12.02 | $19.50 | $27.54 |
CareSource Setting Facility Modifier Global Typical Low $61.66 Median $83.18 Typical High $85.11 | Facility | Global | $61.66 | $83.18 | $85.11 |
CareSource Setting Professional Modifier Global Typical Low $74.13 Median $93.33 Typical High $151.36 | Professional | Global | $74.13 | $93.33 | $151.36 |
Cigna Setting Facility Modifier Global Typical Low $34.67 Median $97.72 Typical High $97.72 | Facility | Global | $34.67 | $97.72 | $97.72 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | 53 · Discontinued | $19.50 | $19.50 | $19.50 |
Cigna Setting Professional Modifier Global Typical Low $70.79 Median $120.23 Typical High $724.44 | Professional | Global | $70.79 | $120.23 | $724.44 |
Highmark BCBS Setting Facility Modifier Global Typical Low $288.40 Median $446.68 Typical High $812.83 | Facility | Global | $288.40 | $446.68 | $812.83 |
Highmark BCBS Setting Facility Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Highmark BCBS Setting Professional Modifier Global Typical Low $83.18 Median $144.54 Typical High $144.54 | Professional | Global | $83.18 | $144.54 | $144.54 |
United Setting Facility Modifier Global Typical Low $354.81 Median $457.09 Typical High $977.24 | Facility | Global | $354.81 | $457.09 | $977.24 |
United Setting Professional Modifier Global Typical Low $60.26 Median $102.33 Typical High $169.82 | Professional | Global | $60.26 | $102.33 | $169.82 |
Where West Virginia sits
The same service costs 3.7 times more in Wisconsin than in Maine. 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.
West Virginia· 12th of 51
$182
WI $372ME $100
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.