How much rates vary
Facilitymedian $589 · 10th to 90th $309 to $1,738Professionalmedian $174 · 10th to 90th $83 to $347
Distribution of negotiated rates across all payers (price axis is log-scale). 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 None Typical Low $123.03 Median $758.58 Typical High $1,819.70 | Facility | None | $123.03 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $251.19 Typical High $389.05 | Professional | None | $79.43 | $251.19 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $125.89 Typical High $194.98 | Professional | 52 · Reduced service | $39.81 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $51.29 Typical High $77.62 | Professional | 53 · Discontinued | $15.85 | $51.29 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $190.55 Typical High $295.12 | Professional | 54 · Surgery only | $60.26 | $190.55 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $38.02 Typical High $58.88 | Professional | 55 · Aftercare only | $12.02 | $38.02 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $25.12 Typical High $38.90 | Professional | 56 · Pre-op care only | $7.94 | $25.12 | $38.90 |
BCBS Mississippi Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $1,148.15 | Facility | None | $457.09 | $562.34 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $251.19 | Professional | None | $102.33 | $162.18 | $251.19 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $302.00 Median $660.69 Typical High $1,819.70 | Facility | None | $302.00 | $660.69 | $1,819.70 |
United Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $309.03 | Professional | None | $85.11 | $141.25 | $309.03 |
Where Mississippi sits
The same service costs 7.8 times more in New York than in North Dakota. 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
NY $2,820ND $362
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.