How much rates vary
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 $46.77 Median $74.13 Typical High $173.78 | Facility | Global | $46.77 | $74.13 | $173.78 |
Aetna Setting Facility Modifier 25 · Same-day visit Typical Low $40.74 Median $97.72 Typical High $199.53 | Facility | 25 · Same-day visit | $40.74 | $97.72 | $199.53 |
Aetna Setting Professional Modifier Global Typical Low $51.29 Median $79.43 Typical High $158.49 | Professional | Global | $51.29 | $79.43 | $158.49 |
Aetna Setting Professional Modifier 25 · Same-day visit Typical Low $58.88 Median $91.20 Typical High $173.78 | Professional | 25 · Same-day visit | $58.88 | $91.20 | $173.78 |
CareSource Setting Facility Modifier Global Typical Low $61.66 Median $69.18 Typical High $83.18 | Facility | Global | $61.66 | $69.18 | $83.18 |
CareSource Setting Professional Modifier Global Typical Low $83.18 Median $89.13 Typical High $125.89 | Professional | Global | $83.18 | $89.13 | $125.89 |
Cigna Setting Facility Modifier Global Typical Low $81.28 Median $81.28 Typical High $134.90 | Facility | Global | $81.28 | $81.28 | $134.90 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | 22 · Increased work | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier 62 · Two surgeons Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | 62 · Two surgeons | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | AS · PA/NP assist | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier Global Typical Low $52.48 Median $85.11 Typical High $457.09 | Professional | Global | $52.48 | $85.11 | $457.09 |
Highmark BCBS Setting Facility Modifier Global Typical Low $26.30 Median $26.30 Typical High $81.28 | Facility | Global | $26.30 | $26.30 | $81.28 |
Highmark BCBS Setting Professional Modifier Global Typical Low $69.18 Median $97.72 Typical High $112.20 | Professional | Global | $69.18 | $97.72 | $112.20 |
Highmark BCBS Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $95.50 Typical High $114.82 | Professional | 25 · Same-day visit | $70.79 | $95.50 | $114.82 |
United Setting Facility Modifier Global Typical Low $75.86 Median $112.20 Typical High $138.04 | Facility | Global | $75.86 | $112.20 | $138.04 |
United Setting Professional Modifier Global Typical Low $40.74 Median $67.61 Typical High $107.15 | Professional | Global | $40.74 | $67.61 | $107.15 |
United Setting Professional Modifier 25 · Same-day visit Typical Low $79.43 Median $104.71 Typical High $141.25 | Professional | 25 · Same-day visit | $79.43 | $104.71 | $141.25 |
Where West Virginia sits
The same service costs 1.6 times more in Minnesota than in Washington, DC. 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.
West Virginia· 33rd of 51
$79.43
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.