How much rates vary
Facilitymedian $512,861 · 10th to 90th $0 to $2,187,762Professionalmedian $512,861 · 10th to 90th $512,861 to $630,957
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $562,341.33 Typical High $2,187,761.62 | Facility | None | $512,861.38 | $562,341.33 | $2,187,761.62 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $562,341.33 | Professional | None | $512,861.38 | $512,861.38 | $562,341.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $257,039.58 Typical High $275,422.87 | Professional | 52 · Reduced service | $257,039.58 | $257,039.58 | $275,422.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $102,329.30 Typical High $112,201.85 | Professional | 53 · Discontinued | $102,329.30 | $102,329.30 | $112,201.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $75,857.76 Typical High $83,176.38 | Professional | 55 · Aftercare only | $75,857.76 | $75,857.76 | $83,176.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $51,286.14 Typical High $56,234.13 | Professional | 56 · Pre-op care only | $51,286.14 | $51,286.14 | $56,234.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.03 Median $0.03 Typical High $0.03 | Facility | None | $0.03 | $0.03 | $0.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $691,830.97 | Professional | None | $512,861.38 | $512,861.38 | $691,830.97 |
Hometown Health 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 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $512,861.38 Typical High $512,861.38 | Facility | None | $4,265.80 | $512,861.38 | $512,861.38 |
Select Health Setting Professional Modifier None Typical Low $457,088.19 Median $512,861.38 Typical High $524,807.46 | Professional | None | $457,088.19 | $512,861.38 | $524,807.46 |
United Setting Professional Modifier None Typical Low $457,088.19 Median $602,559.59 Typical High $660,693.45 | Professional | None | $457,088.19 | $602,559.59 | $660,693.45 |
Where Nevada 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.
Nevada· 41st 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.