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 $251.19 Median $549.54 Typical High $3,890.45 | Facility | Global | $251.19 | $549.54 | $3,890.45 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 50 · Both sides | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $229.09 Typical High $239.88 | Facility | 54 · Surgery only | $181.97 | $229.09 | $239.88 |
Aetna Setting Professional Modifier Global Typical Low $234.42 Median $295.12 Typical High $1,071.52 | Professional | Global | $234.42 | $295.12 | $1,071.52 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 50 · Both sides | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $218.78 Typical High $316.23 | Professional | 54 · Surgery only | $173.78 | $218.78 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $44.67 Typical High $63.10 | Professional | 55 · Aftercare only | $35.48 | $44.67 | $63.10 |
Ambetter Setting Professional Modifier Global Typical Low $56.23 Median $269.15 Typical High $389.05 | Professional | Global | $56.23 | $269.15 | $389.05 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 50 · Both sides | $549.54 | $549.54 | $549.54 |
Anthem BCBS Setting Facility Modifier Global Typical Low $3,388.44 Median $10,715.19 Typical High $11,220.18 | Facility | Global | $3,388.44 | $10,715.19 | $11,220.18 |
Anthem BCBS Setting Professional Modifier Global Typical Low $229.09 Median $281.84 Typical High $562.34 | Professional | Global | $229.09 | $281.84 | $562.34 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $436.52 Typical High $851.14 | Professional | 50 · Both sides | $338.84 | $436.52 | $851.14 |
CareSource Setting Facility Modifier Global Typical Low $208.93 Median $257.04 Typical High $302.00 | Facility | Global | $208.93 | $257.04 | $302.00 |
CareSource Setting Professional Modifier Global Typical Low $239.88 Median $288.40 Typical High $380.19 | Professional | Global | $239.88 | $288.40 | $380.19 |
Cigna Setting Facility Modifier Global Typical Low $34.67 Median $354.81 Typical High $416.87 | Facility | Global | $34.67 | $354.81 | $416.87 |
Cigna Setting Facility Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | 54 · Surgery only | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier Global Typical Low $245.47 Median $489.78 Typical High $2,238.72 | Professional | Global | $245.47 | $489.78 | $2,238.72 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $194.98 | Professional | Global | $32.36 | $33.11 | $194.98 |
United Setting Facility Modifier Global Typical Low $389.05 Median $1,445.44 Typical High $2,630.27 | Facility | Global | $389.05 | $1,445.44 | $2,630.27 |
United Setting Professional Modifier Global Typical Low $245.47 Median $371.54 Typical High $549.54 | Professional | Global | $245.47 | $371.54 | $549.54 |
Where Kentucky 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.
Kentucky· 49th of 51
$302
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.