How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,585 to $10,965Professionalmedian $759 · 10th to 90th $589 to $1,380
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 $3,388.44 Median $5,888.44 Typical High $12,589.25 | Facility | Global | $3,388.44 | $5,888.44 | $12,589.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 54 · Surgery only | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier Global Typical Low $575.44 Median $812.83 Typical High $1,380.38 | Professional | Global | $575.44 | $812.83 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $123.03 Typical High $134.90 | Professional | 55 · Aftercare only | $97.72 | $123.03 | $134.90 |
Ambetter Setting Professional Modifier Global Typical Low $398.11 Median $912.01 Typical High $1,174.90 | Professional | Global | $398.11 | $912.01 | $1,174.90 |
Anthem BCBS Setting Facility Modifier Global Typical Low $1,479.11 Median $4,365.16 Typical High $10,000.00 | Facility | Global | $1,479.11 | $4,365.16 | $10,000.00 |
Anthem BCBS Setting Professional Modifier Global Typical Low $660.69 Median $676.08 Typical High $1,023.29 | Professional | Global | $660.69 | $676.08 | $1,023.29 |
Cigna Setting Facility Modifier Global Typical Low $776.25 Median $4,786.30 Typical High $5,128.61 | Facility | Global | $776.25 | $4,786.30 | $5,128.61 |
Cigna Setting Professional Modifier Global Typical Low $660.69 Median $1,023.29 Typical High $1,778.28 | Professional | Global | $660.69 | $1,023.29 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $645.65 Median $831.76 Typical High $4,466.84 | Professional | Global | $645.65 | $831.76 | $4,466.84 |
Kaiser Permanente Setting Professional Modifier 22 · Increased work Typical Low $1,737.80 Median $1,737.80 Typical High $2,691.53 | Professional | 22 · Increased work | $1,737.80 | $1,737.80 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $794.33 Typical High $1,023.29 | Professional | 53 · Discontinued | $512.86 | $794.33 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $1,258.93 | Professional | 54 · Surgery only | $812.83 | $812.83 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $89.13 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $89.13 |
Oscar Health Setting Professional Modifier Global Typical Low $794.33 Median $870.96 Typical High $1,096.48 | Professional | Global | $794.33 | $870.96 | $1,096.48 |
United Setting Facility Modifier Global Typical Low $1,258.93 Median $6,165.95 Typical High $11,748.98 | Facility | Global | $1,258.93 | $6,165.95 | $11,748.98 |
United Setting Professional Modifier Global Typical Low $707.95 Median $1,000.00 Typical High $1,548.82 | Professional | Global | $707.95 | $1,000.00 | $1,548.82 |
Where Georgia 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.