How much rates vary
Facilitymedian $813 · 10th to 90th $251 to $5,495Professionalmedian $339 · 10th to 90th $229 to $871
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 LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $288.40 Median $1,096.48 Typical High $6,918.31 | Facility | Global | $288.40 | $1,096.48 | $6,918.31 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $549.54 Median $549.54 Typical High $891.25 | Facility | 50 · Both sides | $549.54 | $549.54 | $891.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $169.82 Median $338.84 Typical High $812.83 | Facility | 54 · Surgery only | $169.82 | $338.84 | $812.83 |
Aetna Setting Professional Modifier Global Typical Low $229.09 Median $295.12 Typical High $851.14 | Professional | Global | $229.09 | $295.12 | $851.14 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $933.25 Typical High $1,258.93 | Professional | 50 · Both sides | $794.33 | $933.25 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $213.80 Typical High $380.19 | Professional | 54 · Surgery only | $169.82 | $213.80 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $43.65 Typical High $75.86 | Professional | 55 · Aftercare only | $33.88 | $43.65 | $75.86 |
Ambetter Setting Professional Modifier Global Typical Low $194.98 Median $281.84 Typical High $371.54 | Professional | Global | $194.98 | $281.84 | $371.54 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $426.58 Median $426.58 Typical High $741.31 | Professional | 50 · Both sides | $426.58 | $426.58 | $741.31 |
BCBS Setting Professional Modifier Global Typical Low $338.84 Median $426.58 Typical High $933.25 | Professional | Global | $338.84 | $426.58 | $933.25 |
Cigna Setting Professional Modifier Global Typical Low $257.04 Median $389.05 Typical High $707.95 | Professional | Global | $257.04 | $389.05 | $707.95 |
Medcost Setting Facility Modifier Global Typical Low $229.09 Median $354.81 Typical High $630.96 | Facility | Global | $229.09 | $354.81 | $630.96 |
Medcost Setting Professional Modifier Global Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | Global | $338.84 | $338.84 | $338.84 |
Oscar Health Setting Facility Modifier Global Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | Global | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Facility Modifier Global Typical Low $912.01 Median $2,344.23 Typical High $4,365.16 | Facility | Global | $912.01 | $2,344.23 | $4,365.16 |
United Setting Professional Modifier Global Typical Low $229.09 Median $346.74 Typical High $616.60 | Professional | Global | $229.09 | $346.74 | $616.60 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $56.23 Typical High $2,951.21 | Facility | Global | $56.23 | $56.23 | $2,951.21 |
Wellcare 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 |
Wellcare 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 |
Where North Carolina sits
The same service costs 3.4 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.
North Carolina $347 · 39th of 51
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.