How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,318 to $12,882Professionalmedian $331 · 10th to 90th $229 to $1,445
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 $1,584.89 Median $5,370.32 Typical High $16,982.44 | Facility | Global | $1,584.89 | $5,370.32 | $16,982.44 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $1,258.93 Median $4,265.80 Typical High $6,918.31 | Facility | 50 · Both sides | $1,258.93 | $4,265.80 | $6,918.31 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $218.78 Typical High $1,513.56 | Facility | 54 · Surgery only | $181.97 | $218.78 | $1,513.56 |
Aetna Setting Professional Modifier Global Typical Low $245.47 Median $331.13 Typical High $1,445.44 | Professional | Global | $245.47 | $331.13 | $1,445.44 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $512.86 Typical High $2,691.53 | Professional | 50 · Both sides | $338.84 | $512.86 | $2,691.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $239.88 Typical High $1,148.15 | Professional | 54 · Surgery only | $169.82 | $239.88 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $47.86 Typical High $229.09 | Professional | 55 · Aftercare only | $33.88 | $47.86 | $229.09 |
Ambetter Setting Professional Modifier Global Typical Low $165.96 Median $257.04 Typical High $302.00 | Professional | Global | $165.96 | $257.04 | $302.00 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $457.09 Typical High $467.74 | Professional | 50 · Both sides | $407.38 | $457.09 | $467.74 |
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 $371.54 Median $562.34 Typical High $1,047.13 | Professional | Global | $371.54 | $562.34 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $371.54 Median $478.63 Typical High $1,047.13 | Professional | 50 · Both sides | $371.54 | $478.63 | $1,047.13 |
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 $446.68 Typical High $1,071.52 | Professional | Global | $100.00 | $446.68 | $1,071.52 |
Cigna Setting Facility Modifier Global Typical Low $257.04 Median $346.74 Typical High $549.54 | Facility | Global | $257.04 | $346.74 | $549.54 |
Cigna Setting Professional Modifier Global Typical Low $263.03 Median $398.11 Typical High $776.25 | Professional | Global | $263.03 | $398.11 | $776.25 |
Contra Costa Health Setting Professional Modifier Global Typical Low $208.93 Median $295.12 Typical High $457.09 | Professional | Global | $208.93 | $295.12 | $457.09 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $208.93 Median $316.23 Typical High $588.84 | Professional | Global | $208.93 | $316.23 | $588.84 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Lucent Health Setting Professional Modifier Global Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | Global | $2,818.38 | $2,818.38 | $2,818.38 |
Molina Setting Professional Modifier Global Typical Low $251.19 Median $251.19 Typical High $416.87 | Professional | Global | $251.19 | $251.19 | $416.87 |
Providence Setting Facility Modifier Global Typical Low $263.03 Median $407.38 Typical High $660.69 | Facility | Global | $263.03 | $407.38 | $660.69 |
Providence Setting Professional Modifier Global Typical Low $263.03 Median $398.11 Typical High $758.58 | Professional | Global | $263.03 | $398.11 | $758.58 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $776.25 Median $776.25 Typical High $1,000.00 | Professional | Global | $776.25 | $776.25 | $1,000.00 |
The Alliance Setting Professional Modifier Global Typical Low $208.93 Median $316.23 Typical High $426.58 | Professional | Global | $208.93 | $316.23 | $426.58 |
United Setting Facility Modifier Global Typical Low $1,071.52 Median $2,818.38 Typical High $7,943.28 | Facility | Global | $1,071.52 | $2,818.38 | $7,943.28 |
United Setting Professional Modifier Global Typical Low $208.93 Median $323.59 Typical High $660.69 | Professional | Global | $208.93 | $323.59 | $660.69 |
Where California sits
The same service costs 3.4 times more in Wyoming 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· 7th of 51
$490
WY $1,000WV $295
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.