How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,230 to $15,488Professionalmedian $676 · 10th to 90th $501 to $1,230
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 $1,047.13 Median $6,456.54 Typical High $12,302.69 | Facility | Global | $1,047.13 | $6,456.54 | $12,302.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $102.33 | Facility | 53 · Discontinued | $100.00 | $100.00 | $102.33 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $77.62 | Facility | 55 · Aftercare only | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier Global Typical Low $501.19 Median $676.08 Typical High $1,230.27 | Professional | Global | $501.19 | $676.08 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $107.15 Typical High $151.36 | Professional | 55 · Aftercare only | $75.86 | $107.15 | $151.36 |
Ambetter Setting Professional Modifier Global Typical Low $537.03 Median $1,023.29 Typical High $2,951.21 | Professional | Global | $537.03 | $1,023.29 | $2,951.21 |
AvMed Setting Facility Modifier Global Typical Low $1,174.90 Median $5,495.41 Typical High $11,220.18 | Facility | Global | $1,174.90 | $5,495.41 | $11,220.18 |
AvMed Setting Professional Modifier Global Typical Low $467.74 Median $588.84 Typical High $630.96 | Professional | Global | $467.74 | $588.84 | $630.96 |
Cigna Setting Facility Modifier Global Typical Low $323.59 Median $3,715.35 Typical High $4,073.80 | Facility | Global | $323.59 | $3,715.35 | $4,073.80 |
Cigna Setting Professional Modifier Global Typical Low $524.81 Median $812.83 Typical High $1,584.89 | Professional | Global | $524.81 | $812.83 | $1,584.89 |
Florida Blue Setting Facility Modifier Global Typical Low $6,165.95 Median $12,302.69 Typical High $23,442.29 | Facility | Global | $6,165.95 | $12,302.69 | $23,442.29 |
Florida Blue Setting Professional Modifier Global Typical Low $316.23 Median $436.52 Typical High $707.95 | Professional | Global | $316.23 | $436.52 | $707.95 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $588.84 | Professional | Global | $32.36 | $33.11 | $588.84 |
United Setting Facility Modifier Global Typical Low $2,818.38 Median $9,549.93 Typical High $15,848.93 | Facility | Global | $2,818.38 | $9,549.93 | $15,848.93 |
United Setting Professional Modifier Global Typical Low $524.81 Median $741.31 Typical High $1,318.26 | Professional | Global | $524.81 | $741.31 | $1,318.26 |
Wellpoint Setting Professional Modifier Global Typical Low $562.34 Median $575.44 Typical High $676.08 | Professional | Global | $562.34 | $575.44 | $676.08 |
Where Florida sits
The same service costs 10.7 times more in New Mexico than in West Virginia. 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
NM $14,445WV $1,352
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.