How much rates vary
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 $1,122.02 Median $6,025.60 Typical High $16,982.44 | Facility | Global | $1,122.02 | $6,025.60 | $16,982.44 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $870.96 Median $2,454.71 Typical High $6,309.57 | Facility | 50 · Both sides | $870.96 | $2,454.71 | $6,309.57 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $194.98 Median $234.42 Typical High $1,202.26 | Facility | 54 · Surgery only | $194.98 | $234.42 | $1,202.26 |
Aetna Setting Professional Modifier Global Typical Low $234.42 Median $316.23 Typical High $1,122.02 | Professional | Global | $234.42 | $316.23 | $1,122.02 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $588.84 Typical High $2,041.74 | Professional | 50 · Both sides | $398.11 | $588.84 | $2,041.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $239.88 Typical High $1,023.29 | Professional | 54 · Surgery only | $173.78 | $239.88 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $44.67 Typical High $194.98 | Professional | 55 · Aftercare only | $33.11 | $44.67 | $194.98 |
Ambetter Setting Professional Modifier Global Typical Low $162.18 Median $218.78 Typical High $275.42 | Professional | Global | $162.18 | $218.78 | $275.42 |
Anthem BCBS Setting Facility Modifier Global Typical Low $2,511.89 Median $4,365.16 Typical High $12,882.50 | Facility | Global | $2,511.89 | $4,365.16 | $12,882.50 |
Anthem BCBS Setting Professional Modifier Global Typical Low $288.40 Median $489.78 Typical High $870.96 | Professional | Global | $288.40 | $489.78 | $870.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $398.11 Typical High $851.14 | Professional | 50 · Both sides | $331.13 | $398.11 | $851.14 |
Blue Shield Setting Facility Modifier Global Typical Low $74.13 Median $2,884.03 Typical High $6,456.54 | Facility | Global | $74.13 | $2,884.03 | $6,456.54 |
Blue Shield Setting Professional Modifier Global Typical Low $100.00 Median $371.54 Typical High $891.25 | Professional | Global | $100.00 | $371.54 | $891.25 |
Cigna Setting Facility Modifier Global Typical Low $186.21 Median $251.19 Typical High $549.54 | Facility | Global | $186.21 | $251.19 | $549.54 |
Cigna Setting Professional Modifier Global Typical Low $245.47 Median $354.81 Typical High $660.69 | Professional | Global | $245.47 | $354.81 | $660.69 |
Contra Costa Health Setting Professional Modifier Global Typical Low $204.17 Median $257.04 Typical High $389.05 | Professional | Global | $204.17 | $257.04 | $389.05 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $177.83 Median $257.04 Typical High $478.63 | Professional | Global | $177.83 | $257.04 | $478.63 |
Lucent Health Setting Facility Modifier Global Typical Low $54.95 Median $56.23 Typical High $2,951.21 | Facility | Global | $54.95 | $56.23 | $2,951.21 |
Lucent Health Setting Facility Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier Global Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | Global | $4,677.35 | $4,677.35 | $4,677.35 |
Molina Setting Professional Modifier Global Typical Low $204.17 Median $204.17 Typical High $338.84 | Professional | Global | $204.17 | $204.17 | $338.84 |
Providence Setting Facility Modifier Global Typical Low $218.78 Median $354.81 Typical High $616.60 | Facility | Global | $218.78 | $354.81 | $616.60 |
Providence Setting Professional Modifier Global Typical Low $251.19 Median $354.81 Typical High $645.65 | Professional | Global | $251.19 | $354.81 | $645.65 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $676.08 Median $676.08 Typical High $812.83 | Professional | Global | $676.08 | $676.08 | $812.83 |
The Alliance Setting Professional Modifier Global Typical Low $181.97 Median $281.84 Typical High $407.38 | Professional | Global | $181.97 | $281.84 | $407.38 |
United Setting Facility Modifier Global Typical Low $1,096.48 Median $2,818.38 Typical High $7,943.28 | Facility | Global | $1,096.48 | $2,818.38 | $7,943.28 |
United Setting Professional Modifier Global Typical Low $181.97 Median $269.15 Typical High $549.54 | Professional | Global | $181.97 | $269.15 | $549.54 |
Where California sits
The same service costs 2.6 times more in Alaska than in West Virginia. 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.
California· 9th of 51
$407
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.