How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,000 to $12,023Professionalmedian $912 · 10th to 90th $603 to $1,479
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 $1,000.00 Median $3,890.45 Typical High $12,589.25 | Facility | Global | $1,000.00 | $3,890.45 | $12,589.25 |
Aetna Setting Facility Modifier 50 · Both sides Typical Low $5,248.07 Median $5,248.07 Typical High $38,018.94 | Facility | 50 · Both sides | $5,248.07 | $5,248.07 | $38,018.94 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $562.34 Median $660.69 Typical High $831.76 | Facility | 54 · Surgery only | $562.34 | $660.69 | $831.76 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $112.20 Median $134.90 Typical High $165.96 | Facility | 55 · Aftercare only | $112.20 | $134.90 | $165.96 |
Aetna Setting Professional Modifier Global Typical Low $741.31 Median $933.25 Typical High $1,445.44 | Professional | Global | $741.31 | $933.25 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $707.95 Typical High $977.24 | Professional | 54 · Surgery only | $562.34 | $707.95 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $141.25 Typical High $194.98 | Professional | 55 · Aftercare only | $112.20 | $141.25 | $194.98 |
Ambetter Setting Professional Modifier Global Typical Low $407.38 Median $660.69 Typical High $776.25 | Professional | Global | $407.38 | $660.69 | $776.25 |
BCBS Setting Facility Modifier Global Typical Low $1,905.46 Median $3,235.94 Typical High $6,456.54 | Facility | Global | $1,905.46 | $3,235.94 | $6,456.54 |
BCBS Setting Professional Modifier Global Typical Low $537.03 Median $676.08 Typical High $1,122.02 | Professional | Global | $537.03 | $676.08 | $1,122.02 |
Baylor Scott & White Setting Facility Modifier Global Typical Low $1,202.26 Median $2,570.40 Typical High $6,165.95 | Facility | Global | $1,202.26 | $2,570.40 | $6,165.95 |
Baylor Scott & White Setting Professional Modifier Global Typical Low $407.38 Median $794.33 Typical High $1,174.90 | Professional | Global | $407.38 | $794.33 | $1,174.90 |
Christus Setting Facility Modifier Global Typical Low $616.60 Median $1,778.28 Typical High $1,778.28 | Facility | Global | $616.60 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier Global Typical Low $1,479.11 Median $1,479.11 Typical High $1,548.82 | Facility | Global | $1,479.11 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier Global Typical Low $741.31 Median $1,000.00 Typical High $1,698.24 | Professional | Global | $741.31 | $1,000.00 | $1,698.24 |
Lucent Health Setting Facility Modifier Global Typical Low $7,079.46 Median $33,884.42 Typical High $33,884.42 | Facility | Global | $7,079.46 | $33,884.42 | $33,884.42 |
Lucent Health Setting Facility Modifier 54 · Surgery only Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | 54 · Surgery only | $4,897.79 | $4,897.79 | $4,897.79 |
Lucent Health Setting Facility Modifier 55 · Aftercare only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | 55 · Aftercare only | $1,047.13 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier Global Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | Global | $6,918.31 | $6,918.31 | $6,918.31 |
Moda Health Setting Facility Modifier Global Typical Low $691.83 Median $1,023.29 Typical High $1,737.80 | Facility | Global | $691.83 | $1,023.29 | $1,737.80 |
Moda Health Setting Professional Modifier Global Typical Low $691.83 Median $954.99 Typical High $1,148.15 | Professional | Global | $691.83 | $954.99 | $1,148.15 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $1,819.70 | Professional | Global | $32.36 | $33.11 | $1,819.70 |
Oscar Health Setting Facility Modifier Global Typical Low $5,370.32 Median $5,370.32 Typical High $5,495.41 | Facility | Global | $5,370.32 | $5,370.32 | $5,495.41 |
Oscar Health Setting Professional Modifier Global Typical Low $616.60 Median $1,096.48 Typical High $1,412.54 | Professional | Global | $616.60 | $1,096.48 | $1,412.54 |
Providence Setting Facility Modifier Global Typical Low $676.08 Median $1,047.13 Typical High $1,819.70 | Facility | Global | $676.08 | $1,047.13 | $1,819.70 |
Providence Setting Professional Modifier Global Typical Low $724.44 Median $1,000.00 Typical High $1,698.24 | Professional | Global | $724.44 | $1,000.00 | $1,698.24 |
United Setting Facility Modifier Global Typical Low $1,258.93 Median $3,388.44 Typical High $7,244.36 | Facility | Global | $1,258.93 | $3,388.44 | $7,244.36 |
United Setting Professional Modifier Global Typical Low $616.60 Median $870.96 Typical High $1,348.96 | Professional | Global | $616.60 | $870.96 | $1,348.96 |
Wellpoint Setting Professional Modifier Global Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | Global | $616.60 | $616.60 | $851.14 |
Where Texas sits
The same service costs 5.9 times more in California than in North Dakota. 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.
Physician feeFacility fee
CA $12,220ND $2,070
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.