How much rates vary
Facilitymedian $6,166 · 10th to 90th $427 to $18,197Professionalmedian $1,585 · 10th to 90th $339 to $3,311
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 $426.58 Median $4,466.84 Typical High $9,772.37 | Facility | None | $426.58 | $4,466.84 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $1,862.09 Typical High $2,511.89 | Professional | None | $407.38 | $1,862.09 | $2,511.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $831.76 Typical High $1,258.93 | Professional | 52 · Reduced service | $204.17 | $831.76 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $331.13 Typical High $501.19 | Professional | 53 · Discontinued | $81.28 | $331.13 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $1,230.27 Typical High $1,905.46 | Professional | 54 · Surgery only | $302.00 | $1,230.27 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $245.47 Typical High $380.19 | Professional | 55 · Aftercare only | $60.26 | $245.47 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $165.96 Typical High $251.19 | Professional | 56 · Pre-op care only | $40.74 | $165.96 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $954.99 Typical High $3,311.31 | Professional | None | $338.84 | $954.99 | $3,311.31 |
Emblem Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,290.87 | $3,162.28 | $3,162.28 |
Horizon BCBS Setting Facility Modifier None Typical Low $12,302.69 Median $18,620.87 Typical High $26,302.68 | Facility | None | $12,302.69 | $18,620.87 | $26,302.68 |
Horizon BCBS Setting Professional Modifier None Typical Low $338.84 Median $2,398.83 Typical High $4,265.80 | Professional | None | $338.84 | $2,398.83 | $4,265.80 |
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 $316.23 Median $1,659.59 Typical High $3,467.37 | Professional | None | $316.23 | $1,659.59 | $3,467.37 |
Where New Jersey sits
The same service costs 6.9 times more in Wisconsin than in Hawaii. 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
$1,905
WI $3,162HI $457
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.