How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 None Typical Low $891.25 Median $15,135.61 Typical High $15,135.61 | Facility | None | $891.25 | $15,135.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Professional | None | $15,135.61 | $15,135.61 | $15,135.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | 52 · Reduced service | $7,585.78 | $7,585.78 | $7,585.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | 53 · Discontinued | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | 54 · Surgery only | $11,481.54 | $11,481.54 | $11,481.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 55 · Aftercare only | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 56 · Pre-op care only | $1,513.56 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $8,317.64 Typical High $10,232.93 | Facility | None | $1,584.89 | $8,317.64 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $12,302.69 | Facility | None | $64.57 | $64.57 | $12,302.69 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,862.09 Typical High $7,943.28 | Facility | None | $977.24 | $1,862.09 | $7,943.28 |
Where Kentucky sits
The same service costs 6.9 times more in Michigan than in Arkansas. 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.
Kentucky· 5th of 51
$15,136
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.