How much rates vary
Facilitymedian $4,467 · 10th to 90th $708 to $13,490Professionalmedian $813 · 10th to 90th $575 to $4,365
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 $870.96 Median $5,248.07 Typical High $14,791.08 | Facility | Global | $870.96 | $5,248.07 | $14,791.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $114.82 Median $173.78 Typical High $234.42 | Facility | 53 · Discontinued | $114.82 | $173.78 | $234.42 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $436.52 Median $645.65 Typical High $870.96 | Facility | 54 · Surgery only | $436.52 | $645.65 | $870.96 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $87.10 Median $128.82 Typical High $173.78 | Facility | 55 · Aftercare only | $87.10 | $128.82 | $173.78 |
Aetna Setting Professional Modifier Global Typical Low $524.81 Median $812.83 Typical High $4,466.84 | Professional | Global | $524.81 | $812.83 | $4,466.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $102.33 Typical High $128.82 | Professional | 55 · Aftercare only | $79.43 | $102.33 | $128.82 |
Anthem BCBS Setting Facility Modifier Global Typical Low $6,606.93 Median $7,413.10 Typical High $9,332.54 | Facility | Global | $6,606.93 | $7,413.10 | $9,332.54 |
Anthem BCBS Setting Professional Modifier Global Typical Low $616.60 Median $912.01 Typical High $1,318.26 | Professional | Global | $616.60 | $912.01 | $1,318.26 |
CareFirst Setting Professional Modifier Global Typical Low $630.96 Median $5,495.41 Typical High $8,317.64 | Professional | Global | $630.96 | $5,495.41 | $8,317.64 |
Cigna Setting Facility Modifier Global Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | Global | $1,023.29 | $1,023.29 | $1,023.29 |
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 $616.60 Median $812.83 Typical High $1,318.26 | Professional | Global | $616.60 | $812.83 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier Global Typical Low $549.54 Median $645.65 Typical High $812.83 | Professional | Global | $549.54 | $645.65 | $812.83 |
Medcost Setting Facility Modifier Global Typical Low $575.44 Median $812.83 Typical High $1,288.25 | Facility | Global | $575.44 | $812.83 | $1,288.25 |
Sentara Setting Facility Modifier Global Typical Low $660.69 Median $891.25 Typical High $10,000.00 | Facility | Global | $660.69 | $891.25 | $10,000.00 |
Sentara Setting Professional Modifier Global Typical Low $660.69 Median $891.25 Typical High $10,000.00 | Professional | Global | $660.69 | $891.25 | $10,000.00 |
United Setting Facility Modifier Global Typical Low $6,606.93 Median $10,964.78 Typical High $22,387.21 | Facility | Global | $6,606.93 | $10,964.78 | $22,387.21 |
United Setting Professional Modifier Global Typical Low $524.81 Median $741.31 Typical High $1,380.38 | Professional | Global | $524.81 | $741.31 | $1,380.38 |
Where Virginia 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.