How much rates vary
Facilitymedian $1,778 · 10th to 90th $468 to $8,913Professionalmedian $372 · 10th to 90th $282 to $631
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 $436.52 Median $1,778.28 Typical High $9,120.11 | Facility | Global | $436.52 | $1,778.28 | $9,120.11 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | 50 · Both sides | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $234.42 Median $426.58 Typical High $794.33 | Facility | 54 · Surgery only | $234.42 | $426.58 | $794.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $48.98 Median $85.11 Typical High $158.49 | Facility | 55 · Aftercare only | $48.98 | $85.11 | $158.49 |
Aetna Setting Professional Modifier Global Typical Low $295.12 Median $380.19 Typical High $645.65 | Professional | Global | $295.12 | $380.19 | $645.65 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $676.08 Typical High $851.14 | Professional | 50 · Both sides | $616.60 | $676.08 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $245.47 Typical High $302.00 | Professional | 54 · Surgery only | $218.78 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $48.98 Typical High $60.26 | Professional | 55 · Aftercare only | $43.65 | $48.98 | $60.26 |
Ambetter Setting Professional Modifier Global Typical Low $112.20 Median $309.03 Typical High $407.38 | Professional | Global | $112.20 | $309.03 | $407.38 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 50 · Both sides | $263.03 | $263.03 | $263.03 |
Ambetter Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 54 · Surgery only | $257.04 | $257.04 | $257.04 |
Anthem BCBS Setting Facility Modifier Global Typical Low $776.25 Median $1,995.26 Typical High $3,981.07 | Facility | Global | $776.25 | $1,995.26 | $3,981.07 |
Anthem BCBS Setting Professional Modifier Global Typical Low $257.04 Median $316.23 Typical High $562.34 | Professional | Global | $257.04 | $316.23 | $562.34 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $389.05 Median $478.63 Typical High $851.14 | Professional | 50 · Both sides | $389.05 | $478.63 | $851.14 |
Aultcare Setting Professional Modifier Global Typical Low $309.03 Median $380.19 Typical High $524.81 | Professional | Global | $309.03 | $380.19 | $524.81 |
CareSource Setting Facility Modifier Global Typical Low $229.09 Median $281.84 Typical High $389.05 | Facility | Global | $229.09 | $281.84 | $389.05 |
CareSource Setting Professional Modifier Global Typical Low $295.12 Median $331.13 Typical High $407.38 | Professional | Global | $295.12 | $331.13 | $407.38 |
Cigna Setting Facility Modifier Global Typical Low $302.00 Median $478.63 Typical High $21,379.62 | Facility | Global | $302.00 | $478.63 | $21,379.62 |
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 $275.42 Median $389.05 Typical High $645.65 | Professional | Global | $275.42 | $389.05 | $645.65 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $812.83 Median $1,000.00 Typical High $2,041.74 | Facility | Global | $812.83 | $1,000.00 | $2,041.74 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $257.04 Median $371.54 Typical High $616.60 | Professional | Global | $257.04 | $371.54 | $616.60 |
Medical Mutual of Ohio Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $407.38 | $407.38 | $407.38 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $154.88 | Professional | Global | $32.36 | $33.11 | $154.88 |
SummaCare Setting Professional Modifier Global Typical Low $275.42 Median $354.81 Typical High $630.96 | Professional | Global | $275.42 | $354.81 | $630.96 |
United Setting Facility Modifier Global Typical Low $416.87 Median $1,445.44 Typical High $3,981.07 | Facility | Global | $416.87 | $1,445.44 | $3,981.07 |
United Setting Professional Modifier Global Typical Low $263.03 Median $338.84 Typical High $575.44 | Professional | Global | $263.03 | $338.84 | $575.44 |
Where Ohio 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.
Ohio· 11th of 51
$437
AK $933NC $331
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.