How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,230 to $12,882Professionalmedian $832 · 10th to 90th $191 to $1,585
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 $229.09 Median $4,786.30 Typical High $10,232.93 | Facility | None | $229.09 | $4,786.30 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $933.25 Typical High $1,318.26 | Professional | None | $223.87 | $933.25 | $1,318.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $398.11 Typical High $645.65 | Professional | 52 · Reduced service | $112.20 | $398.11 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $158.49 Typical High $263.03 | Professional | 53 · Discontinued | $44.67 | $158.49 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $588.84 Typical High $977.24 | Professional | 54 · Surgery only | $169.82 | $588.84 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $117.49 Typical High $194.98 | Professional | 55 · Aftercare only | $33.88 | $117.49 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $81.28 Typical High $131.83 | Professional | 56 · Pre-op care only | $22.39 | $81.28 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $549.54 Typical High $1,621.81 | Professional | None | $190.55 | $549.54 | $1,621.81 |
Emblem Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,584.89 | $1,584.89 |
Horizon BCBS Setting Facility Modifier None Typical Low $7,079.46 Median $10,715.19 Typical High $14,791.08 | Facility | None | $7,079.46 | $10,715.19 | $14,791.08 |
Horizon BCBS Setting Professional Modifier None Typical Low $190.55 Median $1,148.15 Typical High $2,041.74 | Professional | None | $190.55 | $1,148.15 | $2,041.74 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $7,244.36 Typical High $15,135.61 | Facility | None | $2,951.21 | $7,244.36 | $15,135.61 |
United Setting Professional Modifier None Typical Low $181.97 Median $831.76 Typical High $1,698.24 | Professional | None | $181.97 | $831.76 | $1,698.24 |
Where New Jersey sits
The same service costs 5.9 times more in Wisconsin 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.
New Jersey· 28th of 51
$955
WI $1,622MD $275
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.