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 $1,071.52 Median $5,128.61 Typical High $15,848.93 | Facility | Global | $1,071.52 | $5,128.61 | $15,848.93 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $1,047.13 Median $1,412.54 Typical High $23,442.29 | Facility | 50 · Both sides | $1,047.13 | $1,412.54 | $23,442.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $204.17 Median $218.78 Typical High $1,548.82 | Facility | 54 · Surgery only | $204.17 | $218.78 | $1,548.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $40.74 Median $44.67 Typical High $338.84 | Facility | 55 · Aftercare only | $40.74 | $44.67 | $338.84 |
Aetna Setting Professional Modifier Global Typical Low $269.15 Median $354.81 Typical High $1,000.00 | Professional | Global | $269.15 | $354.81 | $1,000.00 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $501.19 Typical High $2,187.76 | Professional | 50 · Both sides | $407.38 | $501.19 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $275.42 Typical High $1,412.54 | Professional | 54 · Surgery only | $199.53 | $275.42 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $54.95 Typical High $281.84 | Professional | 55 · Aftercare only | $39.81 | $54.95 | $281.84 |
Ambetter Setting Professional Modifier Global Typical Low $239.88 Median $288.40 Typical High $323.59 | Professional | Global | $239.88 | $288.40 | $323.59 |
Anthem BCBS Setting Facility Modifier Global Typical Low $3,388.44 Median $5,888.44 Typical High $13,489.63 | Facility | Global | $3,388.44 | $5,888.44 | $13,489.63 |
Anthem BCBS Setting Professional Modifier Global Typical Low $316.23 Median $457.09 Typical High $1,000.00 | Professional | Global | $316.23 | $457.09 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $537.03 Typical High $933.25 | Professional | 50 · Both sides | $407.38 | $537.03 | $933.25 |
Blue Shield Setting Facility Modifier Global Typical Low $75.86 Median $3,630.78 Typical High $8,511.38 | Facility | Global | $75.86 | $3,630.78 | $8,511.38 |
Blue Shield Setting Professional Modifier Global Typical Low $100.00 Median $316.23 Typical High $812.83 | Professional | Global | $100.00 | $316.23 | $812.83 |
Cigna Setting Facility Modifier Global Typical Low $501.19 Median $562.34 Typical High $741.31 | Facility | Global | $501.19 | $562.34 | $741.31 |
Cigna Setting Professional Modifier Global Typical Low $275.42 Median $398.11 Typical High $851.14 | Professional | Global | $275.42 | $398.11 | $851.14 |
Contra Costa Health Setting Professional Modifier Global Typical Low $186.21 Median $416.87 Typical High $512.86 | Professional | Global | $186.21 | $416.87 | $512.86 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $281.84 Median $389.05 Typical High $660.69 | Professional | Global | $281.84 | $389.05 | $660.69 |
Lucent Health Setting Facility Modifier Global Typical Low $1,995.26 Median $28,840.32 Typical High $28,840.32 | Facility | Global | $1,995.26 | $28,840.32 | $28,840.32 |
Lucent Health Setting Facility Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,348.96 |
Lucent Health Setting Facility Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Lucent Health Setting Professional Modifier Global Typical Low $2,398.83 Median $2,754.23 Typical High $2,754.23 | Professional | Global | $2,398.83 | $2,754.23 | $2,754.23 |
Molina Setting Professional Modifier Global Typical Low $275.42 Median $275.42 Typical High $467.74 | Professional | Global | $275.42 | $275.42 | $467.74 |
Providence Setting Facility Modifier Global Typical Low $295.12 Median $407.38 Typical High $676.08 | Facility | Global | $295.12 | $407.38 | $676.08 |
Providence Setting Professional Modifier Global Typical Low $275.42 Median $398.11 Typical High $851.14 | Professional | Global | $275.42 | $398.11 | $851.14 |
Sutter Health Plus Setting Facility Modifier Global Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | Global | $977.24 | $977.24 | $977.24 |
Sutter Health Plus Setting Professional Modifier Global Typical Low $1,023.29 Median $1,023.29 Typical High $1,096.48 | Professional | Global | $1,023.29 | $1,023.29 | $1,096.48 |
The Alliance Setting Professional Modifier Global Typical Low $234.42 Median $316.23 Typical High $398.11 | Professional | Global | $234.42 | $316.23 | $398.11 |
United Setting Facility Modifier Global Typical Low $1,096.48 Median $2,754.23 Typical High $7,943.28 | Facility | Global | $1,096.48 | $2,754.23 | $7,943.28 |
United Setting Professional Modifier Global Typical Low $239.88 Median $316.23 Typical High $724.44 | Professional | Global | $239.88 | $316.23 | $724.44 |
Where California sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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· 34th of 51
$380
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.