How much rates vary
Facilitymedian $6,918 · 10th to 90th $3,090 to $15,136Professionalmedian $562 · 10th to 90th $166 to $1,202
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 $5,888.44 Typical High $10,471.29 | Facility | None | $2,754.23 | $5,888.44 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $707.95 Typical High $933.25 | Professional | None | $213.80 | $707.95 | $933.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $338.84 Typical High $457.09 | Professional | 52 · Reduced service | $107.15 | $338.84 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $134.90 Typical High $181.97 | Professional | 53 · Discontinued | $42.66 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $501.19 Typical High $676.08 | Professional | 54 · Surgery only | $158.49 | $501.19 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $100.00 Typical High $134.90 | Professional | 55 · Aftercare only | $31.62 | $100.00 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $67.61 Typical High $91.20 | Professional | 56 · Pre-op care only | $21.38 | $67.61 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $537.03 Typical High $1,258.93 | Professional | None | $165.96 | $537.03 | $1,258.93 |
Emblem Health Setting Professional Modifier None Typical Low $977.24 Median $1,348.96 Typical High $1,348.96 | Professional | None | $977.24 | $1,348.96 | $1,348.96 |
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 $204.17 Median $912.01 Typical High $1,659.59 | Professional | None | $204.17 | $912.01 | $1,659.59 |
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 $128.82 Median $524.81 Typical High $1,174.90 | Professional | None | $128.82 | $524.81 | $1,174.90 |
Where New Jersey sits
The same service costs 5.4 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· 46th of 51
$575
WI $1,514MD $282
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.