How much rates vary
Facilitymedian $12,303 · 10th to 90th $2,042 to $25,119Professionalmedian $692 · 10th to 90th $537 to $1,047
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 $977.24 Median $8,317.64 Typical High $12,022.64 | Facility | Global | $977.24 | $8,317.64 | $12,022.64 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $128.82 Median $190.55 Typical High $190.55 | Facility | 53 · Discontinued | $128.82 | $190.55 | $190.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $478.63 Median $707.95 Typical High $707.95 | Facility | 54 · Surgery only | $478.63 | $707.95 | $707.95 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $95.50 Median $144.54 Typical High $144.54 | Facility | 55 · Aftercare only | $95.50 | $144.54 | $144.54 |
Aetna Setting Professional Modifier Global Typical Low $616.60 Median $691.83 Typical High $1,023.29 | Professional | Global | $616.60 | $691.83 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $128.82 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $128.82 |
Ambetter Setting Professional Modifier Global Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | Global | $549.54 | $549.54 | $549.54 |
Anthem BCBS Setting Facility Modifier Global Typical Low $3,715.35 Median $15,488.17 Typical High $25,703.96 | Facility | Global | $3,715.35 | $15,488.17 | $25,703.96 |
Anthem BCBS Setting Professional Modifier Global Typical Low $512.86 Median $630.96 Typical High $977.24 | Professional | Global | $512.86 | $630.96 | $977.24 |
CareSource Setting Facility Modifier Global Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | Global | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier Global Typical Low $446.68 Median $645.65 Typical High $5,011.87 | Facility | Global | $446.68 | $645.65 | $5,011.87 |
Cigna Setting Professional Modifier Global Typical Low $549.54 Median $794.33 Typical High $1,071.52 | Professional | Global | $549.54 | $794.33 | $1,071.52 |
United Setting Facility Modifier Global Typical Low $2,691.53 Median $9,549.93 Typical High $16,218.10 | Facility | Global | $2,691.53 | $9,549.93 | $16,218.10 |
United Setting Professional Modifier Global Typical Low $616.60 Median $794.33 Typical High $1,348.96 | Professional | Global | $616.60 | $794.33 | $1,348.96 |
Where Indiana 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.