How much rates vary
Facilitymedian $5,495 · 10th to 90th $95 to $13,183Professionalmedian $263 · 10th to 90th $55 to $589
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 $95.50 Median $3,311.31 Typical High $10,000.00 | Facility | None | $95.50 | $3,311.31 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $316.23 Typical High $478.63 | Professional | None | $95.50 | $316.23 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $131.83 Typical High $213.80 | Professional | 52 · Reduced service | $47.86 | $131.83 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $53.70 Typical High $85.11 | Professional | 53 · Discontinued | $19.05 | $53.70 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $199.53 Typical High $316.23 | Professional | 54 · Surgery only | $70.79 | $199.53 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $39.81 Typical High $63.10 | Professional | 55 · Aftercare only | $14.13 | $39.81 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $26.30 Typical High $42.66 | Professional | 56 · Pre-op care only | $9.55 | $26.30 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $199.53 Typical High $575.44 | Professional | None | $54.95 | $199.53 | $575.44 |
Emblem Health Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $676.08 | Professional | None | $478.63 | $660.69 | $676.08 |
Horizon BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $12,022.64 Typical High $16,595.87 | Facility | None | $7,943.28 | $12,022.64 | $16,595.87 |
Horizon BCBS Setting Professional Modifier None Typical Low $67.61 Median $416.87 Typical High $758.58 | Professional | None | $67.61 | $416.87 | $758.58 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $7,244.36 Typical High $15,135.61 | Facility | None | $2,951.21 | $7,244.36 | $15,135.61 |
United Setting Professional Modifier None Typical Low $43.65 Median $251.19 Typical High $537.03 | Professional | None | $43.65 | $251.19 | $537.03 |
Where New Jersey sits
The same service costs 5.6 times more in Wisconsin than in Maryland. 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· 43rd of 51
$275
WI $617MD $110
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.