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 $2,187.76 Median $4,365.16 Typical High $14,454.40 | Facility | Global | $2,187.76 | $4,365.16 | $14,454.40 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $208.93 | Facility | 54 · Surgery only | $165.96 | $165.96 | $208.93 |
Aetna Setting Professional Modifier Global Typical Low $229.09 Median $524.81 Typical High $1,318.26 | Professional | Global | $229.09 | $524.81 | $1,318.26 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $257.04 Median $512.86 Typical High $741.31 | Professional | 50 · Both sides | $257.04 | $512.86 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $309.03 Typical High $1,258.93 | Professional | 54 · Surgery only | $165.96 | $309.03 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $61.66 Typical High $257.04 | Professional | 55 · Aftercare only | $33.11 | $61.66 | $257.04 |
Ambetter Setting Professional Modifier Global Typical Low $177.83 Median $177.83 Typical High $436.52 | Professional | Global | $177.83 | $177.83 | $436.52 |
BCBS Setting Facility Modifier Global Typical Low $3,090.30 Median $4,073.80 Typical High $7,943.28 | Facility | Global | $3,090.30 | $4,073.80 | $7,943.28 |
BCBS Setting Professional Modifier Global Typical Low $234.42 Median $398.11 Typical High $562.34 | Professional | Global | $234.42 | $398.11 | $562.34 |
Cigna Setting Facility Modifier Global Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | Global | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier Global Typical Low $512.86 Median $660.69 Typical High $870.96 | Professional | Global | $512.86 | $660.69 | $870.96 |
Medica Setting Facility Modifier Global Typical Low $263.03 Median $524.81 Typical High $1,949.84 | Facility | Global | $263.03 | $524.81 | $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 $426.58 Median $602.56 Typical High $851.14 | Professional | Global | $426.58 | $602.56 | $851.14 |
Medica Setting Professional Modifier 50 · Both sides Typical Low $323.59 Median $323.59 Typical High $794.33 | Professional | 50 · Both sides | $323.59 | $323.59 | $794.33 |
Midlands Setting Professional Modifier Global Typical Low $549.54 Median $691.83 Typical High $870.96 | Professional | Global | $549.54 | $691.83 | $870.96 |
Midlands Setting Facility Modifier Global Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | Global | $295.12 | $295.12 | $295.12 |
Midlands Setting Professional Modifier Global Typical Low $457.09 Median $660.69 Typical High $741.31 | Professional | Global | $457.09 | $660.69 | $741.31 |
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 $346.74 Median $831.76 Typical High $5,248.07 | Facility | Global | $346.74 | $831.76 | $5,248.07 |
United Setting Professional Modifier Global Typical Low $346.74 Median $537.03 Typical High $724.44 | Professional | Global | $346.74 | $537.03 | $724.44 |
Where Nebraska 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.
Nebraska· 5th of 51
$537
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.