How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,202 to $13,183Professionalmedian $871 · 10th to 90th $589 to $2,630
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 $1,737.80 Median $6,309.57 Typical High $10,232.93 | Facility | Global | $1,737.80 | $6,309.57 | $10,232.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier Global Typical Low $588.84 Median $812.83 Typical High $2,630.27 | Professional | Global | $588.84 | $812.83 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $177.83 Typical High $660.69 | Professional | 55 · Aftercare only | $95.50 | $177.83 | $660.69 |
Cigna Setting Professional Modifier Global Typical Low $794.33 Median $1,584.89 Typical High $1,995.26 | Professional | Global | $794.33 | $1,584.89 | $1,995.26 |
Hally Health Setting Professional Modifier Global Typical Low $489.78 Median $831.76 Typical High $3,162.28 | Professional | Global | $489.78 | $831.76 | $3,162.28 |
Medica Setting Facility Modifier Global Typical Low $831.76 Median $7,244.36 Typical High $13,182.57 | Facility | Global | $831.76 | $7,244.36 | $13,182.57 |
Medica Setting Facility Modifier 53 · Discontinued Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | 53 · Discontinued | $4,073.80 | $4,073.80 | $4,073.80 |
Medica Setting Facility Modifier 54 · Surgery only Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Facility | 54 · Surgery only | $14,125.38 | $14,125.38 | $14,125.38 |
Medica Setting Facility Modifier 55 · Aftercare only Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | 55 · Aftercare only | $3,019.95 | $3,019.95 | $3,019.95 |
Medica Setting Professional Modifier Global Typical Low $794.33 Median $1,380.38 Typical High $5,128.61 | Professional | Global | $794.33 | $1,380.38 | $5,128.61 |
Midlands Setting Professional Modifier Global Typical Low $1,122.02 Median $1,621.81 Typical High $2,511.89 | Professional | Global | $1,122.02 | $1,621.81 | $2,511.89 |
Oscar Health Setting Professional Modifier Global Typical Low $575.44 Median $1,023.29 Typical High $1,318.26 | Professional | Global | $575.44 | $1,023.29 | $1,318.26 |
United Setting Facility Modifier Global Typical Low $6,760.83 Median $9,772.37 Typical High $14,125.38 | Facility | Global | $6,760.83 | $9,772.37 | $14,125.38 |
United Setting Professional Modifier Global Typical Low $707.95 Median $1,071.52 Typical High $1,995.26 | Professional | Global | $707.95 | $1,071.52 | $1,995.26 |
Wellmark Setting Professional Modifier Global Typical Low $954.99 Median $1,202.26 Typical High $1,445.44 | Professional | Global | $954.99 | $1,202.26 | $1,445.44 |
Where Iowa 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.