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 $309.03 Median $2,398.83 Typical High $5,623.41 | Facility | Global | $309.03 | $2,398.83 | $5,623.41 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $208.93 Typical High $269.15 | Facility | 54 · Surgery only | $181.97 | $208.93 | $269.15 |
Aetna Setting Professional Modifier Global Typical Low $245.47 Median $331.13 Typical High $1,047.13 | Professional | Global | $245.47 | $331.13 | $1,047.13 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $660.69 Median $660.69 Typical High $1,023.29 | Professional | 50 · Both sides | $660.69 | $660.69 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $229.09 Typical High $295.12 | Professional | 54 · Surgery only | $181.97 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $45.71 Typical High $58.88 | Professional | 55 · Aftercare only | $36.31 | $45.71 | $58.88 |
Ambetter Setting Professional Modifier Global Typical Low $177.83 Median $199.53 Typical High $446.68 | Professional | Global | $177.83 | $199.53 | $446.68 |
Ambetter Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 54 · Surgery only | $288.40 | $288.40 | $288.40 |
Anthem BCBS Setting Facility Modifier Global Typical Low $2,238.72 Median $4,570.88 Typical High $8,317.64 | Facility | Global | $2,238.72 | $4,570.88 | $8,317.64 |
Anthem BCBS Setting Professional Modifier Global Typical Low $245.47 Median $380.19 Typical High $549.54 | Professional | Global | $245.47 | $380.19 | $549.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $371.54 Median $575.44 Typical High $831.76 | Professional | 50 · Both sides | $371.54 | $575.44 | $831.76 |
BCBS Setting Professional Modifier Global Typical Low $204.17 Median $309.03 Typical High $478.63 | Professional | Global | $204.17 | $309.03 | $478.63 |
Cigna Setting Facility Modifier Global Typical Low $199.53 Median $199.53 Typical High $389.05 | Facility | Global | $199.53 | $199.53 | $389.05 |
Cigna Setting Professional Modifier Global Typical Low $239.88 Median $371.54 Typical High $707.95 | Professional | Global | $239.88 | $371.54 | $707.95 |
Medica Setting Facility Modifier Global Typical Low $54.95 Median $537.03 Typical High $1,949.84 | Facility | Global | $54.95 | $537.03 | $1,949.84 |
Medica Setting Facility Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | 54 · Surgery only | $741.31 | $741.31 | $741.31 |
Medica Setting Professional Modifier Global Typical Low $281.84 Median $436.52 Typical High $2,818.38 | Professional | Global | $281.84 | $436.52 | $2,818.38 |
United Setting Facility Modifier Global Typical Low $436.52 Median $1,047.13 Typical High $2,089.30 | Facility | Global | $436.52 | $1,047.13 | $2,089.30 |
United Setting Professional Modifier Global Typical Low $229.09 Median $354.81 Typical High $562.34 | Professional | Global | $229.09 | $354.81 | $562.34 |
Where Missouri 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.
Missouri· 10th of 51
$468
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.