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 $371.54 Median $2,951.21 Typical High $7,762.47 | Facility | Global | $371.54 | $2,951.21 | $7,762.47 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | 50 · Both sides | $933.25 | $933.25 | $933.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $239.88 Median $302.00 Typical High $426.58 | Facility | 54 · Surgery only | $239.88 | $302.00 | $426.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $47.86 Median $60.26 Typical High $85.11 | Facility | 55 · Aftercare only | $47.86 | $60.26 | $85.11 |
Aetna Setting Professional Modifier Global Typical Low $275.42 Median $371.54 Typical High $891.25 | Professional | Global | $275.42 | $371.54 | $891.25 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $501.19 Typical High $831.76 | Professional | 50 · Both sides | $407.38 | $501.19 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $281.84 Typical High $691.83 | Professional | 54 · Surgery only | $213.80 | $281.84 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $56.23 Typical High $131.83 | Professional | 55 · Aftercare only | $42.66 | $56.23 | $131.83 |
Ambetter Setting Professional Modifier Global Typical Low $295.12 Median $295.12 Typical High $380.19 | Professional | Global | $295.12 | $295.12 | $380.19 |
Anthem BCBS Setting Facility Modifier Global Typical Low $1,819.70 Median $3,630.78 Typical High $5,011.87 | Facility | Global | $1,819.70 | $3,630.78 | $5,011.87 |
Anthem BCBS Setting Professional Modifier Global Typical Low $269.15 Median $346.74 Typical High $851.14 | Professional | Global | $269.15 | $346.74 | $851.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $512.86 Typical High $1,258.93 | Professional | 50 · Both sides | $407.38 | $512.86 | $1,258.93 |
CDPHP Setting Facility Modifier Global Typical Low $436.52 Median $1,698.24 Typical High $6,165.95 | Facility | Global | $436.52 | $1,698.24 | $6,165.95 |
CDPHP Setting Professional Modifier Global Typical Low $436.52 Median $436.52 Typical High $467.74 | Professional | Global | $436.52 | $436.52 | $467.74 |
Cigna Setting Facility Modifier Global Typical Low $407.38 Median $478.63 Typical High $1,862.09 | Facility | Global | $407.38 | $478.63 | $1,862.09 |
Cigna Setting Facility Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | 54 · Surgery only | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier Global Typical Low $269.15 Median $457.09 Typical High $1,122.02 | Professional | Global | $269.15 | $457.09 | $1,122.02 |
Emblem Health Setting Facility Modifier Global Typical Low $251.19 Median $346.74 Typical High $1,047.13 | Facility | Global | $251.19 | $346.74 | $1,047.13 |
Emblem Health Setting Professional Modifier Global Typical Low $229.09 Median $295.12 Typical High $630.96 | Professional | Global | $229.09 | $295.12 | $630.96 |
Excellus BCBS Setting Professional Modifier Global Typical Low $263.03 Median $537.03 Typical High $831.76 | Professional | Global | $263.03 | $537.03 | $831.76 |
Excellus BCBS Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $549.54 Typical High $776.25 | Professional | 54 · Surgery only | $204.17 | $549.54 | $776.25 |
Excellus BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $85.11 Typical High $141.25 | Professional | 55 · Aftercare only | $52.48 | $85.11 | $141.25 |
Highmark BCBS Setting Professional Modifier Global Typical Low $288.40 Median $380.19 Typical High $407.38 | Professional | Global | $288.40 | $380.19 | $407.38 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $616.60 Typical High $616.60 | Professional | 50 · Both sides | $512.86 | $616.60 | $616.60 |
Highmark BCBS Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $269.15 | $269.15 | $269.15 |
MVP Health Care Setting Facility Modifier Global Typical Low $281.84 Median $50,118.72 Typical High $75,857.76 | Facility | Global | $281.84 | $50,118.72 | $75,857.76 |
MVP Health Care Setting Professional Modifier Global Typical Low $346.74 Median $407.38 Typical High $870.96 | Professional | Global | $346.74 | $407.38 | $870.96 |
United Setting Facility Modifier Global Typical Low $1,348.96 Median $2,884.03 Typical High $5,623.41 | Facility | Global | $1,348.96 | $2,884.03 | $5,623.41 |
United Setting Professional Modifier Global Typical Low $123.03 Median $269.15 Typical High $575.44 | Professional | Global | $123.03 | $269.15 | $575.44 |
Univera Setting Facility Modifier Global Typical Low $251.19 Median $426.58 Typical High $812.83 | Facility | Global | $251.19 | $426.58 | $812.83 |
Univera Setting Facility Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $338.84 | Facility | 54 · Surgery only | $204.17 | $204.17 | $338.84 |
Univera Setting Facility Modifier 55 · Aftercare only Typical Low $50.12 Median $56.23 Typical High $85.11 | Facility | 55 · Aftercare only | $50.12 | $56.23 | $85.11 |
Univera Setting Professional Modifier Global Typical Low $263.03 Median $537.03 Typical High $1,258.93 | Professional | Global | $263.03 | $537.03 | $1,258.93 |
Univera Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $436.52 Typical High $724.44 | Professional | 54 · Surgery only | $204.17 | $436.52 | $724.44 |
Univera Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $79.43 Typical High $165.96 | Professional | 55 · Aftercare only | $52.48 | $79.43 | $165.96 |
Where New York 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.
New York· 31st of 51
$389
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.