How much rates vary
Facilitymedian $6,457 · 10th to 90th $2,512 to $11,220Professionalmedian $126 · 10th to 90th $105 to $219
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 $4,365.16 Median $6,918.31 Typical High $12,882.50 | Facility | None | $4,365.16 | $6,918.31 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $131.83 | Professional | None | $100.00 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $48.98 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $19.95 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $97.72 Typical High $97.72 | Professional | 54 · Surgery only | $74.13 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $14.79 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $10.00 | $13.18 | $13.18 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $8,511.38 Typical High $10,715.19 | Facility | None | $5,128.61 | $8,511.38 | $10,715.19 |
Horizon BCBS Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $199.53 | Professional | None | $109.65 | $125.89 | $199.53 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,888.44 Typical High $10,964.78 | Facility | None | $2,290.87 | $5,888.44 | $10,964.78 |
United Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $239.88 | Professional | None | $100.00 | $128.82 | $239.88 |
Where New Jersey sits
The same service costs 51.3 times more in Oklahoma than in Kentucky. 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.
New Jersey· 19th of 51
$240
OK $5,754KY $112
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.