How much rates vary
Facilitymedian $1,259 · 10th to 90th $182 to $5,248Professionalmedian $324 · 10th to 90th $120 to $741
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $295.12 Median $2,570.40 Typical High $5,888.44 | Facility | Global | $295.12 | $2,570.40 | $5,888.44 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $60.26 Median $194.98 Typical High $562.34 | Facility | 52 · Reduced service | $60.26 | $194.98 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $77.62 Typical High $229.09 | Facility | 53 · Discontinued | $23.99 | $77.62 | $229.09 |
Aetna Setting Professional Modifier Global Typical Low $79.43 Median $251.19 Typical High $676.08 | Professional | Global | $79.43 | $251.19 | $676.08 |
Ambetter Setting Professional Modifier Global Typical Low $93.33 Median $138.04 Typical High $524.81 | Professional | Global | $93.33 | $138.04 | $524.81 |
BCBS Setting Professional Modifier Global Typical Low $190.55 Median $398.11 Typical High $794.33 | Professional | Global | $190.55 | $398.11 | $794.33 |
Cigna Setting Facility Modifier Global Typical Low $338.84 Median $602.56 Typical High $912.01 | Facility | Global | $338.84 | $602.56 | $912.01 |
Cigna Setting Professional Modifier Global Typical Low $151.36 Median $309.03 Typical High $588.84 | Professional | Global | $151.36 | $309.03 | $588.84 |
Medcost Setting Professional Modifier Global Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | Global | $457.09 | $457.09 | $457.09 |
Medcost Setting Facility Modifier Global Typical Low $123.03 Median $295.12 Typical High $501.19 | Facility | Global | $123.03 | $295.12 | $501.19 |
Medcost Setting Professional Modifier Global Typical Low $281.84 Median $281.84 Typical High $724.44 | Professional | Global | $281.84 | $281.84 | $724.44 |
Oscar Health Setting Facility Modifier Global Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | Global | $3,715.35 | $3,715.35 | $3,715.35 |
Oscar Health Setting Professional Modifier Global Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | Global | $316.23 | $316.23 | $331.13 |
United Setting Facility Modifier Global Typical Low $398.11 Median $1,995.26 Typical High $6,309.57 | Facility | Global | $398.11 | $1,995.26 | $6,309.57 |
United Setting Professional Modifier Global Typical Low $117.49 Median $245.47 Typical High $436.52 | Professional | Global | $117.49 | $245.47 | $436.52 |
Wellcare Setting Facility Modifier Global Typical Low $2,818.38 Median $2,818.38 Typical High $19,498.45 | Facility | Global | $2,818.38 | $2,818.38 | $19,498.45 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | 52 · Reduced service | $2,238.72 | $2,238.72 | $2,238.72 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | 53 · Discontinued | $562.34 | $562.34 | $562.34 |
Wellcare Setting Professional Modifier Global Typical Low $2,041.74 Median $2,041.74 Typical High $2,398.83 | Professional | Global | $2,041.74 | $2,041.74 | $2,398.83 |
Where North Carolina sits
The same service costs 7.5 times more in New Jersey than in Montana. 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
NJ $4,840MT $642
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.