How much rates vary
Facilitymedian $676 · 10th to 90th $676 to $3,090Professionalmedian $676 · 10th to 90th $575 to $871
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 $676.08 Median $676.08 Typical High $3,090.30 | Facility | Global | $676.08 | $676.08 | $3,090.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | 53 · Discontinued | $134.90 | $134.90 | $134.90 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier Global Typical Low $575.44 Median $676.08 Typical High $851.14 | Professional | Global | $575.44 | $676.08 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $109.65 Typical High $128.82 | Professional | 55 · Aftercare only | $87.10 | $109.65 | $128.82 |
CareSource Setting Facility Modifier Global Typical Low $707.95 Median $707.95 Typical High $831.76 | Facility | Global | $707.95 | $707.95 | $831.76 |
CareSource Setting Professional Modifier Global Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | Global | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier Global Typical Low $34.67 Median $1,023.29 Typical High $1,023.29 | Facility | Global | $34.67 | $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 $524.81 Median $933.25 Typical High $2,818.38 | Professional | Global | $524.81 | $933.25 | $2,818.38 |
Highmark BCBS Setting Facility Modifier Global Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | Global | $6,760.83 | $6,760.83 | $6,760.83 |
United Setting Facility Modifier Global Typical Low $3,548.13 Median $3,548.13 Typical High $14,791.08 | Facility | Global | $3,548.13 | $3,548.13 | $14,791.08 |
United Setting Professional Modifier Global Typical Low $537.03 Median $776.25 Typical High $1,202.26 | Professional | Global | $537.03 | $776.25 | $1,202.26 |
Where West 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.