How much rates vary
Facilitymedian $759 · 10th to 90th $10 to $1,047Professionalmedian $355 · 10th to 90th $269 to $617
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 $10.23 Median $758.58 Typical High $1,047.13 | Facility | Global | $10.23 | $758.58 | $1,047.13 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $245.47 | Facility | 54 · Surgery only | $229.09 | $229.09 | $245.47 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $48.98 | Facility | 55 · Aftercare only | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier Global Typical Low $269.15 Median $354.81 Typical High $616.60 | Professional | Global | $269.15 | $354.81 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $251.19 Typical High $309.03 | Professional | 54 · Surgery only | $213.80 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $50.12 Typical High $61.66 | Professional | 55 · Aftercare only | $42.66 | $50.12 | $61.66 |
CareSource Setting Facility Modifier Global Typical Low $316.23 Median $371.54 Typical High $371.54 | Facility | Global | $316.23 | $371.54 | $371.54 |
CareSource Setting Professional Modifier Global Typical Low $295.12 Median $331.13 Typical High $380.19 | Professional | Global | $295.12 | $331.13 | $380.19 |
Cigna Setting Facility Modifier Global Typical Low $478.63 Median $478.63 Typical High $1,862.09 | Facility | Global | $478.63 | $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 $234.42 Median $380.19 Typical High $1,621.81 | Professional | Global | $234.42 | $380.19 | $1,621.81 |
Highmark BCBS Setting Facility Modifier Global Typical Low $741.31 Median $1,659.59 Typical High $2,818.38 | Facility | Global | $741.31 | $1,659.59 | $2,818.38 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $2,041.74 Median $2,089.30 Typical High $2,570.40 | Facility | 50 · Both sides | $2,041.74 | $2,089.30 | $2,570.40 |
Highmark BCBS Setting Professional Modifier Global Typical Low $416.87 Median $501.19 Typical High $707.95 | Professional | Global | $416.87 | $501.19 | $707.95 |
Highmark BCBS Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $707.95 Typical High $1,071.52 | Professional | 50 · Both sides | $676.08 | $707.95 | $1,071.52 |
Highmark BCBS Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $524.81 Typical High $588.84 | Professional | 54 · Surgery only | $323.59 | $524.81 | $588.84 |
United Setting Facility Modifier Global Typical Low $691.83 Median $954.99 Typical High $2,089.30 | Facility | Global | $691.83 | $954.99 | $2,089.30 |
United Setting Professional Modifier Global Typical Low $218.78 Median $295.12 Typical High $457.09 | Professional | Global | $218.78 | $295.12 | $457.09 |
Where West Virginia 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.
West Virginia· 37th of 51
$380
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.