How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,259 to $13,804Professionalmedian $724 · 10th to 90th $603 to $6,761
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 $1,258.93 Median $8,128.31 Typical High $13,803.84 | Facility | Global | $1,258.93 | $8,128.31 | $13,803.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $208.93 Typical High $251.19 | Facility | 53 · Discontinued | $134.90 | $208.93 | $251.19 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $512.86 Median $776.25 Typical High $933.25 | Facility | 54 · Surgery only | $512.86 | $776.25 | $933.25 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $154.88 Typical High $186.21 | Facility | 55 · Aftercare only | $102.33 | $154.88 | $186.21 |
Aetna Setting Professional Modifier Global Typical Low $630.96 Median $724.44 Typical High $10,715.19 | Professional | Global | $630.96 | $724.44 | $10,715.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $102.33 Typical High $123.03 | Professional | 55 · Aftercare only | $95.50 | $102.33 | $123.03 |
Anthem BCBS Setting Facility Modifier Global Typical Low $2,238.72 Median $4,365.16 Typical High $16,982.44 | Facility | Global | $2,238.72 | $4,365.16 | $16,982.44 |
Anthem BCBS Setting Professional Modifier Global Typical Low $575.44 Median $724.44 Typical High $1,288.25 | Professional | Global | $575.44 | $724.44 | $1,288.25 |
Aultcare Setting Professional Modifier Global Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | Global | $660.69 | $660.69 | $660.69 |
CareSource Setting Facility Modifier Global Typical Low $812.83 Median $812.83 Typical High $4,677.35 | Facility | Global | $812.83 | $812.83 | $4,677.35 |
CareSource Setting Professional Modifier Global Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | Global | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier Global Typical Low $1,023.29 Median $3,890.45 Typical High $21,379.62 | Facility | Global | $1,023.29 | $3,890.45 | $21,379.62 |
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 $549.54 Median $870.96 Typical High $1,445.44 | Professional | Global | $549.54 | $870.96 | $1,445.44 |
Medical Mutual of Ohio Setting Facility Modifier Global Typical Low $3,890.45 Median $3,890.45 Typical High $21,379.62 | Facility | Global | $3,890.45 | $3,890.45 | $21,379.62 |
Medical Mutual of Ohio Setting Professional Modifier Global Typical Low $549.54 Median $870.96 Typical High $1,445.44 | Professional | Global | $549.54 | $870.96 | $1,445.44 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $478.63 | Professional | Global | $32.36 | $33.11 | $478.63 |
SummaCare Setting Professional Modifier Global Typical Low $588.84 Median $691.83 Typical High $1,348.96 | Professional | Global | $588.84 | $691.83 | $1,348.96 |
United Setting Facility Modifier Global Typical Low $2,884.03 Median $6,165.95 Typical High $11,220.18 | Facility | Global | $2,884.03 | $6,165.95 | $11,220.18 |
United Setting Professional Modifier Global Typical Low $602.56 Median $794.33 Typical High $1,412.54 | Professional | Global | $602.56 | $794.33 | $1,412.54 |
Where Ohio 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.