How much rates vary
Facilitymedian $2,884 · 10th to 90th $525 to $7,586Professionalmedian $288 · 10th to 90th $186 to $447
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 $223.87 Median $4,466.84 Typical High $9,772.37 | Facility | None | $223.87 | $4,466.84 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $309.03 | Professional | None | $186.21 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $123.03 Typical High $154.88 | Professional | 52 · Reduced service | $93.33 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $38.02 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $186.21 Typical High $229.09 | Professional | 54 · Surgery only | $141.25 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $37.15 Typical High $45.71 | Professional | 55 · Aftercare only | $28.18 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $24.55 Typical High $30.90 | Professional | 56 · Pre-op care only | $18.62 | $24.55 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $173.78 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $131.83 | $173.78 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,162.28 | Facility | None | $1,513.56 | $2,238.72 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $562.34 | Professional | None | $234.42 | $288.40 | $562.34 |
Emblem Health Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $602.56 | Professional | None | $407.38 | $575.44 | $602.56 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $4,073.80 Typical High $10,471.29 | Facility | None | $2,290.87 | $4,073.80 | $10,471.29 |
Horizon BCBS Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $512.86 | Professional | None | $331.13 | $389.05 | $512.86 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,884.03 Typical High $6,760.83 | Facility | None | $1,122.02 | $2,884.03 | $6,760.83 |
United Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $338.84 | Professional | None | $158.49 | $251.19 | $338.84 |
Where New Jersey sits
The same service costs 5.5 times more in Colorado than in Michigan. 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 $4,792MI $877
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.