How much rates vary
Facilitymedian $13,490 · 10th to 90th $933 to $35,481Professionalmedian $955 · 10th to 90th $631 to $1,230
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 $891.25 Median $2,089.30 Typical High $8,317.64 | Facility | Global | $891.25 | $2,089.30 | $8,317.64 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $186.21 | Facility | 53 · Discontinued | $177.83 | $177.83 | $186.21 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $691.83 | Facility | 54 · Surgery only | $676.08 | $676.08 | $691.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $138.04 | Facility | 55 · Aftercare only | $134.90 | $134.90 | $138.04 |
Aetna Setting Professional Modifier Global Typical Low $630.96 Median $977.24 Typical High $3,801.89 | Professional | Global | $630.96 | $977.24 | $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 $562.34 Median $562.34 Typical High $562.34 | Professional | Global | $562.34 | $562.34 | $562.34 |
BCBS Setting Facility Modifier Global Typical Low $9,120.11 Median $23,442.29 Typical High $38,018.94 | Facility | Global | $9,120.11 | $23,442.29 | $38,018.94 |
BCBS Setting Professional Modifier Global Typical Low $588.84 Median $794.33 Typical High $1,148.15 | Professional | Global | $588.84 | $794.33 | $1,148.15 |
Cigna Setting Professional Modifier Global Typical Low $524.81 Median $812.83 Typical High $1,174.90 | Professional | Global | $524.81 | $812.83 | $1,174.90 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $954.99 | Professional | Global | $32.36 | $33.11 | $954.99 |
Providence Setting Facility Modifier Global Typical Low $676.08 Median $776.25 Typical High $1,737.80 | Facility | Global | $676.08 | $776.25 | $1,737.80 |
Providence Setting Professional Modifier Global Typical Low $524.81 Median $812.83 Typical High $1,174.90 | Professional | Global | $524.81 | $812.83 | $1,174.90 |
United Setting Facility Modifier Global Typical Low $891.25 Median $10,964.78 Typical High $19,054.61 | Facility | Global | $891.25 | $10,964.78 | $19,054.61 |
United Setting Professional Modifier Global Typical Low $794.33 Median $977.24 Typical High $1,348.96 | Professional | Global | $794.33 | $977.24 | $1,348.96 |
Where New Mexico 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.