How much rates vary
Facilitymedian $660,693 · 10th to 90th $0 to $676,083Professionalmedian $575,440 · 10th to 90th $562,341 to $575,440
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 $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Professional | None | $575,439.94 | $575,439.94 | $575,439.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $288,403.15 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $288,403.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $114,815.36 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $114,815.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $87,096.36 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $87,096.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $57,543.99 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $57,543.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $676,082.98 Typical High $676,082.98 | Facility | None | $0.02 | $676,082.98 | $676,082.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $562,341.33 Median $575,439.94 Typical High $575,439.94 | Professional | None | $562,341.33 | $575,439.94 | $575,439.94 |
CareSource Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $891,250.94 | Facility | None | $562,341.33 | $562,341.33 | $891,250.94 |
CareSource Setting Professional Modifier None Typical Low $562,341.33 Median $588,843.66 Typical High $794,328.23 | Professional | None | $562,341.33 | $588,843.66 | $794,328.23 |
Molina Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $724,435.96 | Professional | None | $562,341.33 | $562,341.33 | $724,435.96 |
Where Kentucky sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 31st of 51
$575,440
TX $977,237MN $562,341
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.