How much rates vary
Facilitymedian $3,090 · 10th to 90th $324 to $6,918Professionalmedian $288 · 10th to 90th $120 to $661
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 $223.87 Median $2,951.21 Typical High $7,244.36 | Facility | Global | $223.87 | $2,951.21 | $7,244.36 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $158.49 Typical High $891.25 | Facility | 52 · Reduced service | $70.79 | $158.49 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $56.23 Typical High $89.13 | Facility | 53 · Discontinued | $28.18 | $56.23 | $89.13 |
Aetna Setting Professional Modifier Global Typical Low $112.20 Median $218.78 Typical High $575.44 | Professional | Global | $112.20 | $218.78 | $575.44 |
Ambetter Setting Professional Modifier Global Typical Low $57.54 Median $107.15 Typical High $204.17 | Professional | Global | $57.54 | $107.15 | $204.17 |
Anthem BCBS Setting Facility Modifier Global Typical Low $1,819.70 Median $3,630.78 Typical High $5,011.87 | Facility | Global | $1,819.70 | $3,630.78 | $5,011.87 |
Anthem BCBS Setting Professional Modifier Global Typical Low $229.09 Median $269.15 Typical High $616.60 | Professional | Global | $229.09 | $269.15 | $616.60 |
CDPHP Setting Facility Modifier Global Typical Low $173.78 Median $1,258.93 Typical High $4,073.80 | Facility | Global | $173.78 | $1,258.93 | $4,073.80 |
CDPHP Setting Professional Modifier Global Typical Low $173.78 Median $173.78 Typical High $426.58 | Professional | Global | $173.78 | $173.78 | $426.58 |
Cigna Setting Facility Modifier Global Typical Low $194.98 Median $194.98 Typical High $3,388.44 | Facility | Global | $194.98 | $194.98 | $3,388.44 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | 22 · Increased work | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | 53 · Discontinued | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier Global Typical Low $147.91 Median $338.84 Typical High $831.76 | Professional | Global | $147.91 | $338.84 | $831.76 |
Emblem Health Setting Facility Modifier Global Typical Low $128.82 Median $173.78 Typical High $426.58 | Facility | Global | $128.82 | $173.78 | $426.58 |
Emblem Health Setting Professional Modifier Global Typical Low $288.40 Median $354.81 Typical High $645.65 | Professional | Global | $288.40 | $354.81 | $645.65 |
Excellus BCBS Setting Facility Modifier Global Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | Global | $263.03 | $263.03 | $263.03 |
Excellus BCBS Setting Professional Modifier Global Typical Low $263.03 Median $575.44 Typical High $794.33 | Professional | Global | $263.03 | $575.44 | $794.33 |
Highmark BCBS Setting Facility Modifier Global Typical Low $891.25 Median $1,659.59 Typical High $3,311.31 | Facility | Global | $891.25 | $1,659.59 | $3,311.31 |
Highmark BCBS Setting Facility Modifier 52 · Reduced service Typical Low $2,511.89 Median $2,511.89 Typical High $3,311.31 | Facility | 52 · Reduced service | $2,511.89 | $2,511.89 | $3,311.31 |
Highmark BCBS Setting Professional Modifier Global Typical Low $125.89 Median $173.78 Typical High $398.11 | Professional | Global | $125.89 | $173.78 | $398.11 |
MVP Health Care Setting Facility Modifier Global Typical Low $173.78 Median $50,118.72 Typical High $75,857.76 | Facility | Global | $173.78 | $50,118.72 | $75,857.76 |
MVP Health Care Setting Professional Modifier Global Typical Low $331.13 Median $398.11 Typical High $724.44 | Professional | Global | $331.13 | $398.11 | $724.44 |
United Setting Facility Modifier Global Typical Low $1,513.56 Median $3,467.37 Typical High $6,760.83 | Facility | Global | $1,513.56 | $3,467.37 | $6,760.83 |
United Setting Professional Modifier Global Typical Low $173.78 Median $338.84 Typical High $1,000.00 | Professional | Global | $173.78 | $338.84 | $1,000.00 |
Univera Setting Facility Modifier Global Typical Low $100.00 Median $144.54 Typical High $562.34 | Facility | Global | $100.00 | $144.54 | $562.34 |
Univera Setting Professional Modifier Global Typical Low $234.42 Median $457.09 Typical High $758.58 | Professional | Global | $234.42 | $457.09 | $758.58 |
Where New York 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.