How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,000 to $7,943Professionalmedian $692 · 10th to 90th $513 to $871
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 $602.56 Median $1,258.93 Typical High $8,511.38 | Facility | Global | $602.56 | $1,258.93 | $8,511.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $144.54 Typical High $144.54 | Facility | 53 · Discontinued | $120.23 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $457.09 Median $549.54 Typical High $549.54 | Facility | 54 · Surgery only | $457.09 | $549.54 | $549.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $91.20 Median $109.65 Typical High $109.65 | Facility | 55 · Aftercare only | $91.20 | $109.65 | $109.65 |
Aetna Setting Professional Modifier Global Typical Low $630.96 Median $691.83 Typical High $851.14 | Professional | Global | $630.96 | $691.83 | $851.14 |
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 $616.60 | Professional | Global | $549.54 | $549.54 | $616.60 |
Anthem BCBS Setting Facility Modifier Global Typical Low $2,570.40 Median $4,466.84 Typical High $7,762.47 | Facility | Global | $2,570.40 | $4,466.84 | $7,762.47 |
Anthem BCBS Setting Professional Modifier Global Typical Low $446.68 Median $524.81 Typical High $794.33 | Professional | Global | $446.68 | $524.81 | $794.33 |
CareSource Setting Facility Modifier Global Typical Low $616.60 Median $758.58 Typical High $977.24 | Facility | Global | $616.60 | $758.58 | $977.24 |
CareSource Setting Professional Modifier Global Typical Low $676.08 Median $851.14 Typical High $1,023.29 | Professional | Global | $676.08 | $851.14 | $1,023.29 |
Cigna Setting Facility Modifier Global Typical Low $34.67 Median $1,023.29 Typical High $1,023.29 | Facility | Global | $34.67 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | 22 · Increased work | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 54 · Surgery only | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier Global Typical Low $660.69 Median $1,096.48 Typical High $2,818.38 | Professional | Global | $660.69 | $1,096.48 | $2,818.38 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $407.38 | Professional | Global | $32.36 | $33.11 | $407.38 |
United Setting Facility Modifier Global Typical Low $851.14 Median $6,025.60 Typical High $10,471.29 | Facility | Global | $851.14 | $6,025.60 | $10,471.29 |
United Setting Professional Modifier Global Typical Low $645.65 Median $794.33 Typical High $1,380.38 | Professional | Global | $645.65 | $794.33 | $1,380.38 |
Where Kentucky 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.