How much rates vary
Facilitymedian $6,607 · 10th to 90th $708 to $9,772Professionalmedian $759 · 10th to 90th $603 to $2,138
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 $776.25 Median $6,606.93 Typical High $9,549.93 | Facility | Global | $776.25 | $6,606.93 | $9,549.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier Global Typical Low $575.44 Median $660.69 Typical High $3,630.78 | Professional | Global | $575.44 | $660.69 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $97.72 Typical High $128.82 | Professional | 55 · Aftercare only | $95.50 | $97.72 | $128.82 |
Ambetter Setting Professional Modifier Global Typical Low $616.60 Median $977.24 Typical High $1,096.48 | Professional | Global | $616.60 | $977.24 | $1,096.48 |
BCBS Setting Professional Modifier Global Typical Low $691.83 Median $912.01 Typical High $2,137.96 | Professional | Global | $691.83 | $912.01 | $2,137.96 |
Cigna Setting Professional Modifier Global Typical Low $676.08 Median $933.25 Typical High $1,737.80 | Professional | Global | $676.08 | $933.25 | $1,737.80 |
Medcost Setting Facility Modifier Global Typical Low $660.69 Median $741.31 Typical High $1,148.15 | Facility | Global | $660.69 | $741.31 | $1,148.15 |
Medcost Setting Professional Modifier Global Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | Global | $602.56 | $602.56 | $602.56 |
United Setting Facility Modifier Global Typical Low $6,025.60 Median $10,964.78 Typical High $23,988.33 | Facility | Global | $6,025.60 | $10,964.78 | $23,988.33 |
United Setting Professional Modifier Global Typical Low $602.56 Median $794.33 Typical High $1,659.59 | Professional | Global | $602.56 | $794.33 | $1,659.59 |
Wellcare Setting Facility Modifier Global Typical Low $56.23 Median $56.23 Typical High $22,387.21 | Facility | Global | $56.23 | $56.23 | $22,387.21 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | 53 · Discontinued | $4,466.84 | $4,466.84 | $4,466.84 |
Wellcare Setting Facility Modifier 54 · Surgery only Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Facility | 54 · Surgery only | $15,848.93 | $15,848.93 | $15,848.93 |
Wellcare Setting Facility Modifier 55 · Aftercare only Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | 55 · Aftercare only | $3,388.44 | $3,388.44 | $3,388.44 |
Wellcare Setting Professional Modifier Global Typical Low $4,897.79 Median $5,623.41 Typical High $5,623.41 | Professional | Global | $4,897.79 | $5,623.41 | $5,623.41 |
Where North Carolina 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.