How much rates vary
Facilitymedian $71 · 10th to 90th $0 to $575,440Professionalmedian $512,861 · 10th to 90th $512,861 to $1,000,000
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 $512,861.38 Median $512,861.38 Typical High $1,023,292.99 | Facility | None | $512,861.38 | $512,861.38 | $1,023,292.99 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Professional | None | $512,861.38 | $512,861.38 | $512,861.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $257,039.58 Typical High $257,039.58 | Professional | 52 · Reduced service | $257,039.58 | $257,039.58 | $257,039.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $102,329.30 Typical High $102,329.30 | Professional | 53 · Discontinued | $102,329.30 | $102,329.30 | $102,329.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $77,624.71 Typical High $77,624.71 | Professional | 55 · Aftercare only | $75,857.76 | $77,624.71 | $77,624.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $51,286.14 Typical High $51,286.14 | Professional | 56 · Pre-op care only | $51,286.14 | $51,286.14 | $51,286.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.04 | Facility | None | $0.02 | $0.02 | $0.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $457,088.19 Median $512,861.38 Typical High $1,122,018.45 | Professional | None | $457,088.19 | $512,861.38 | $1,122,018.45 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $489,778.82 Typical High $630,957.34 | Facility | None | $72.44 | $489,778.82 | $630,957.34 |
Blue Shield Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $630,957.34 | Professional | None | $512,861.38 | $512,861.38 | $630,957.34 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $512,861.38 Median $562,341.33 Typical High $562,341.33 | Professional | None | $512,861.38 | $562,341.33 | $562,341.33 |
Cigna Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $616,595.00 | Professional | None | $489,778.82 | $489,778.82 | $616,595.00 |
Contra Costa Health Setting Professional Modifier None Typical Low $97,723.72 Median $489,778.82 Typical High $537,031.80 | Professional | None | $97,723.72 | $489,778.82 | $537,031.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436,515.83 Median $489,778.82 Typical High $851,138.04 | Professional | None | $436,515.83 | $489,778.82 | $851,138.04 |
Lucent Health Setting Professional Modifier None Typical Low $1,000,000.00 Median $1,000,000.00 Typical High $1,000,000.00 | Professional | None | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |
Providence Setting Facility Modifier None Typical Low $512,861.38 Median $724,435.96 Typical High $741,310.24 | Facility | None | $512,861.38 | $724,435.96 | $741,310.24 |
Providence Setting Professional Modifier None Typical Low $89.13 Median $616,595.00 Typical High $851,138.04 | Professional | None | $89.13 | $616,595.00 | $851,138.04 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $89,125.09 Median $707,945.78 Typical High $977,237.22 | Professional | None | $89,125.09 | $707,945.78 | $977,237.22 |
Where California sits
The same service costs 2.0 times more in Texas than in New Jersey. 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.
California· 39th of 51
$512,861
TX $1,000,000NJ $489,779
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.