How much rates vary
Facilitymedian $8,511 · 10th to 90th $4,898 to $16,218Professionalmedian $1,047 · 10th to 90th $631 to $1,995
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 $7,244.36 Median $8,511.38 Typical High $16,218.10 | Facility | Global | $7,244.36 | $8,511.38 | $16,218.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | 54 · Surgery only | $478.63 | $478.63 | $478.63 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | 55 · Aftercare only | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier Global Typical Low $630.96 Median $954.99 Typical High $3,801.89 | Professional | Global | $630.96 | $954.99 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $158.49 Typical High $562.34 | Professional | 55 · Aftercare only | $95.50 | $158.49 | $562.34 |
Ambetter Setting Professional Modifier Global Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | Global | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Setting Facility Modifier Global Typical Low $5,888.44 Median $7,762.47 Typical High $15,135.61 | Facility | Global | $5,888.44 | $7,762.47 | $15,135.61 |
BCBS Setting Professional Modifier Global Typical Low $630.96 Median $1,071.52 Typical High $1,513.56 | Professional | Global | $630.96 | $1,071.52 | $1,513.56 |
Cigna Setting Facility Modifier Global Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | Global | $6,025.60 | $6,025.60 | $6,025.60 |
Cigna Setting Professional Modifier Global Typical Low $1,318.26 Median $1,584.89 Typical High $1,995.26 | Professional | Global | $1,318.26 | $1,584.89 | $1,995.26 |
Medica Setting Facility Modifier Global Typical Low $630.96 Median $1,202.26 Typical High $21,379.62 | Facility | Global | $630.96 | $1,202.26 | $21,379.62 |
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 $1,000.00 Median $1,380.38 Typical High $1,905.46 | Professional | Global | $1,000.00 | $1,380.38 | $1,905.46 |
Midlands Setting Professional Modifier Global Typical Low $1,318.26 Median $1,621.81 Typical High $2,137.96 | Professional | Global | $1,318.26 | $1,621.81 | $2,137.96 |
Midlands Setting Facility Modifier Global Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | Global | $6,025.60 | $6,025.60 | $6,025.60 |
Midlands Setting Professional Modifier Global Typical Low $1,318.26 Median $1,513.56 Typical High $2,137.96 | Professional | Global | $1,318.26 | $1,513.56 | $2,137.96 |
United Setting Facility Modifier Global Typical Low $1,000.00 Median $6,606.93 Typical High $8,912.51 | Facility | Global | $1,000.00 | $6,606.93 | $8,912.51 |
United Setting Professional Modifier Global Typical Low $812.83 Median $1,348.96 Typical High $1,862.09 | Professional | Global | $812.83 | $1,348.96 | $1,862.09 |
Where Nebraska 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.