How much rates vary
Facilitymedian $5,888 · 10th to 90th $372 to $15,136Professionalmedian $1,549 · 10th to 90th $347 to $3,090
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 $371.54 Median $4,570.88 Typical High $10,232.93 | Facility | None | $371.54 | $4,570.88 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $1,513.56 Typical High $2,818.38 | Professional | None | $363.08 | $1,513.56 | $2,818.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $676.08 Typical High $1,000.00 | Professional | 52 · Reduced service | $177.83 | $676.08 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $269.15 Typical High $398.11 | Professional | 53 · Discontinued | $72.44 | $269.15 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $1,000.00 Typical High $1,513.56 | Professional | 54 · Surgery only | $269.15 | $1,000.00 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $199.53 Typical High $302.00 | Professional | 55 · Aftercare only | $53.70 | $199.53 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $134.90 Typical High $199.53 | Professional | 56 · Pre-op care only | $36.31 | $134.90 | $199.53 |
AmeriHealth Setting Facility Modifier None Typical Low $676.08 Median $1,380.38 Typical High $7,079.46 | Facility | None | $676.08 | $1,380.38 | $7,079.46 |
AmeriHealth Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $933.25 Typical High $2,884.03 | Professional | None | $346.74 | $933.25 | $2,884.03 |
Emblem Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,801.89 Typical High $3,801.89 | Professional | None | $2,754.23 | $3,801.89 | $3,801.89 |
Horizon BCBS Setting Facility Modifier None Typical Low $12,302.69 Median $20,417.38 Typical High $26,302.68 | Facility | None | $12,302.69 | $20,417.38 | $26,302.68 |
Horizon BCBS Setting Professional Modifier None Typical Low $338.84 Median $2,137.96 Typical High $3,630.78 | Professional | None | $338.84 | $2,137.96 | $3,630.78 |
United Setting Facility Modifier None Typical Low $3,162.28 Median $9,772.37 Typical High $23,988.33 | Facility | None | $3,162.28 | $9,772.37 | $23,988.33 |
United Setting Professional Modifier None Typical Low $331.13 Median $1,659.59 Typical High $3,090.30 | Professional | None | $331.13 | $1,659.59 | $3,090.30 |
Where New Jersey sits
The same service costs 6.2 times more in Washington 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· 25th of 51
$1,778
WA $3,162MD $513
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.