How much rates vary
Facilitymedian $174 · 10th to 90th $69 to $661Professionalmedian $78 · 10th to 90th $51 to $141
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $85.11 Typical High $91.20 | Professional | None | $51.29 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $38.90 Typical High $45.71 | Professional | 52 · Reduced service | $25.70 | $38.90 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $15.85 Typical High $18.20 | Professional | 53 · Discontinued | $10.23 | $15.85 | $18.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $58.88 Typical High $69.18 | Professional | 54 · Surgery only | $38.90 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $11.75 Typical High $13.80 | Professional | 55 · Aftercare only | $7.76 | $11.75 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.76 Typical High $9.12 | Professional | 56 · Pre-op care only | $5.13 | $7.76 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $645.65 Typical High $2,691.53 | Facility | None | $501.19 | $645.65 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $147.91 | Professional | None | $75.86 | $85.11 | $147.91 |
United Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $616.60 | Facility | None | $64.57 | $144.54 | $616.60 |
United Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $186.21 | Professional | None | $70.79 | $85.11 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $114.82 | Professional | None | $77.62 | $109.65 | $114.82 |
Where Maryland sits
The same service costs 16.6 times more in Alabama than in Delaware. 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
AL $3,321DE $200
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.