How much rates vary
Facilitymedian $2,630 · 10th to 90th $977 to $7,244Professionalmedian $240 · 10th to 90th $112 to $417
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 $2,754.23 Median $5,754.40 Typical High $10,471.29 | Facility | None | $2,754.23 | $5,754.40 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $371.54 | Professional | None | $169.82 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $131.83 Typical High $186.21 | Professional | 52 · Reduced service | $85.11 | $131.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $52.48 Typical High $74.13 | Professional | 53 · Discontinued | $33.88 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $194.98 Typical High $281.84 | Professional | 54 · Surgery only | $125.89 | $194.98 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $38.90 Typical High $56.23 | Professional | 55 · Aftercare only | $25.70 | $38.90 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $26.30 Typical High $37.15 | Professional | 56 · Pre-op care only | $16.98 | $26.30 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $3,801.89 | Facility | None | $954.99 | $1,819.70 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $239.88 Typical High $436.52 | Professional | None | $128.82 | $239.88 | $436.52 |
Emblem Health Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $616.60 | Professional | None | $446.68 | $616.60 | $616.60 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $4,570.88 Typical High $7,762.47 | Facility | None | $2,630.27 | $4,570.88 | $7,762.47 |
Horizon BCBS Setting Professional Modifier None Typical Low $158.49 Median $380.19 Typical High $537.03 | Professional | None | $158.49 | $380.19 | $537.03 |
United Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $5,623.41 | Facility | None | $724.44 | $1,995.26 | $5,623.41 |
United Setting Professional Modifier None Typical Low $97.72 Median $239.88 Typical High $338.84 | Professional | None | $97.72 | $239.88 | $338.84 |
Where New Jersey sits
The same service costs 7.3 times more in Colorado than in North Dakota. 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
CO $5,245ND $722
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.