How much rates vary
Facilitymedian $617 · 10th to 90th $219 to $3,311Professionalmedian $200 · 10th to 90th $117 to $309
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 $138.04 Median $141.25 Typical High $234.42 | Facility | None | $138.04 | $141.25 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $234.42 | Professional | None | $138.04 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $93.33 Typical High $114.82 | Professional | 52 · Reduced service | $69.18 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $37.15 Typical High $46.77 | Professional | 53 · Discontinued | $27.54 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $28.18 Typical High $34.67 | Professional | 55 · Aftercare only | $20.89 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $18.62 Typical High $23.44 | Professional | 56 · Pre-op care only | $13.80 | $18.62 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $257.04 Typical High $389.05 | Facility | None | $162.18 | $257.04 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $354.81 | Professional | None | $138.04 | $213.80 | $354.81 |
Emblem Health Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $426.58 | Professional | None | $309.03 | $426.58 | $426.58 |
Horizon BCBS Setting Facility Modifier None Typical Low $229.09 Median $416.87 Typical High $1,047.13 | Facility | None | $229.09 | $416.87 | $1,047.13 |
Horizon BCBS Setting Professional Modifier None Typical Low $144.54 Median $257.04 Typical High $426.58 | Professional | None | $144.54 | $257.04 | $426.58 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,412.54 Typical High $3,890.45 | Facility | None | $316.23 | $1,412.54 | $3,890.45 |
United Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $295.12 | Professional | None | $104.71 | $186.21 | $295.12 |
Where New Jersey sits
The same service costs 8.0 times more in New York than in Maryland. 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
NY $2,495MD $313
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.