How much rates vary
Facilitymedian $4,467 · 10th to 90th $324 to $12,589Professionalmedian $275 · 10th to 90th $186 to $537
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 $354.81 Median $4,570.88 Typical High $12,589.25 | Facility | Global | $354.81 | $4,570.88 | $12,589.25 |
Aetna Setting Professional Modifier Global Typical Low $186.21 Median $275.42 Typical High $4,786.30 | Professional | Global | $186.21 | $275.42 | $4,786.30 |
Ambetter Setting Professional Modifier Global Typical Low $190.55 Median $190.55 Typical High $288.40 | Professional | Global | $190.55 | $190.55 | $288.40 |
Anthem BCBS Setting Facility Modifier Global Typical Low $1,905.46 Median $2,137.96 Typical High $2,511.89 | Facility | Global | $1,905.46 | $2,137.96 | $2,511.89 |
Anthem BCBS Setting Professional Modifier Global Typical Low $199.53 Median $275.42 Typical High $478.63 | Professional | Global | $199.53 | $275.42 | $478.63 |
Aultcare Setting Professional Modifier Global Typical Low $218.78 Median $218.78 Typical High $338.84 | Professional | Global | $218.78 | $218.78 | $338.84 |
CareSource Setting Facility Modifier Global Typical Low $199.53 Median $239.88 Typical High $275.42 | Facility | Global | $199.53 | $239.88 | $275.42 |
CareSource Setting Professional Modifier Global Typical Low $213.80 Median $257.04 Typical High $309.03 | Professional | Global | $213.80 | $257.04 | $309.03 |
Cigna Setting Facility Modifier Global Typical Low $331.13 Median $331.13 Typical High $21,379.62 | Facility | Global | $331.13 | $331.13 | $21,379.62 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | 22 · Increased work | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier 62 · Two surgeons Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | 62 · Two surgeons | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | AS · PA/NP assist | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier Global Typical Low $199.53 Median $302.00 Typical High $457.09 | Professional | Global | $199.53 | $302.00 | $457.09 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $1,318.26 Median $3,311.31 Typical High $5,495.41 | Facility | Global | $1,318.26 | $3,311.31 | $5,495.41 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $186.21 Median $302.00 Typical High $457.09 | Professional | Global | $186.21 | $302.00 | $457.09 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | Global | $32.36 | $33.11 | $33.11 |
SummaCare Setting Professional Modifier Global Typical Low $186.21 Median $229.09 Typical High $407.38 | Professional | Global | $186.21 | $229.09 | $407.38 |
United Setting Facility Modifier Global Typical Low $323.59 Median $977.24 Typical High $2,951.21 | Facility | Global | $323.59 | $977.24 | $2,951.21 |
United Setting Professional Modifier Global Typical Low $158.49 Median $245.47 Typical High $398.11 | Professional | Global | $158.49 | $245.47 | $398.11 |
Where Ohio sits
The same service costs 37.2 times more in South Carolina 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.
Physician feeFacility fee
SC $8,967ME $241
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.