How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,660 to $8,511Professionalmedian $813 · 10th to 90th $631 to $2,512
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 $812.83 Median $4,265.80 Typical High $8,511.38 | Facility | Global | $812.83 | $4,265.80 | $8,511.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $162.18 | Facility | 53 · Discontinued | $141.25 | $141.25 | $162.18 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $616.60 | Facility | 54 · Surgery only | $524.81 | $524.81 | $616.60 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $123.03 | Facility | 55 · Aftercare only | $104.71 | $104.71 | $123.03 |
Aetna Setting Professional Modifier Global Typical Low $630.96 Median $812.83 Typical High $4,265.80 | Professional | Global | $630.96 | $812.83 | $4,265.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $147.91 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $147.91 |
Ambetter Setting Professional Modifier Global Typical Low $549.54 Median $549.54 Typical High $870.96 | Professional | Global | $549.54 | $549.54 | $870.96 |
Anthem BCBS Setting Facility Modifier Global Typical Low $2,238.72 Median $4,570.88 Typical High $8,317.64 | Facility | Global | $2,238.72 | $4,570.88 | $8,317.64 |
Anthem BCBS Setting Professional Modifier Global Typical Low $602.56 Median $724.44 Typical High $1,230.27 | Professional | Global | $602.56 | $724.44 | $1,230.27 |
BCBS Setting Professional Modifier Global Typical Low $575.44 Median $616.60 Typical High $1,047.13 | Professional | Global | $575.44 | $616.60 | $1,047.13 |
Cigna Setting Facility Modifier Global Typical Low $588.84 Median $588.84 Typical High $4,168.69 | Facility | Global | $588.84 | $588.84 | $4,168.69 |
Cigna Setting Professional Modifier Global Typical Low $371.54 Median $912.01 Typical High $1,819.70 | Professional | Global | $371.54 | $912.01 | $1,819.70 |
Medica Setting Facility Modifier Global Typical Low $54.95 Median $2,137.96 Typical High $11,481.54 | Facility | Global | $54.95 | $2,137.96 | $11,481.54 |
Medica Setting Facility Modifier 53 · Discontinued Typical Low $354.81 Median $4,073.80 Typical High $4,073.80 | Facility | 53 · Discontinued | $354.81 | $4,073.80 | $4,073.80 |
Medica Setting Facility Modifier 54 · Surgery only Typical Low $1,230.27 Median $14,125.38 Typical High $14,125.38 | Facility | 54 · Surgery only | $1,230.27 | $14,125.38 | $14,125.38 |
Medica Setting Facility Modifier 55 · Aftercare only Typical Low $263.03 Median $3,019.95 Typical High $3,019.95 | Facility | 55 · Aftercare only | $263.03 | $3,019.95 | $3,019.95 |
Medica Setting Professional Modifier Global Typical Low $660.69 Median $912.01 Typical High $5,128.61 | Professional | Global | $660.69 | $912.01 | $5,128.61 |
United Setting Facility Modifier Global Typical Low $2,137.96 Median $3,981.07 Typical High $7,943.28 | Facility | Global | $2,137.96 | $3,981.07 | $7,943.28 |
United Setting Professional Modifier Global Typical Low $616.60 Median $851.14 Typical High $1,348.96 | Professional | Global | $616.60 | $851.14 | $1,348.96 |
Where Missouri 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.