How much rates vary
Facilitymedian $4,169 · 10th to 90th $178 to $10,000Professionalmedian $107 · 10th to 90th $56 to $372
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 $162.18 Median $4,365.16 Typical High $10,232.93 | Facility | Global | $162.18 | $4,365.16 | $10,232.93 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $43.65 Median $54.95 Typical High $89.13 | Facility | 52 · Reduced service | $43.65 | $54.95 | $89.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $35.48 | Facility | 53 · Discontinued | $17.38 | $21.88 | $35.48 |
Aetna Setting Professional Modifier Global Typical Low $56.23 Median $107.15 Typical High $436.52 | Professional | Global | $56.23 | $107.15 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $45.71 Typical High $67.61 | Professional | 52 · Reduced service | $27.54 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $18.20 Typical High $26.92 | Professional | 53 · Discontinued | $10.96 | $18.20 | $26.92 |
Ambetter Setting Professional Modifier Global Typical Low $100.00 Median $138.04 Typical High $173.78 | Professional | Global | $100.00 | $138.04 | $173.78 |
AmeriHealth Setting Facility Modifier Global Typical Low $537.03 Median $4,786.30 Typical High $8,317.64 | Facility | Global | $537.03 | $4,786.30 | $8,317.64 |
AmeriHealth Setting Professional Modifier Global Typical Low $93.33 Median $120.23 Typical High $288.40 | Professional | Global | $93.33 | $120.23 | $288.40 |
Cigna Setting Professional Modifier Global Typical Low $72.44 Median $131.83 Typical High $275.42 | Professional | Global | $72.44 | $131.83 | $275.42 |
Emblem Health Setting Professional Modifier Global Typical Low $87.10 Median $158.49 Typical High $213.80 | Professional | Global | $87.10 | $158.49 | $213.80 |
Horizon BCBS Setting Facility Modifier Global Typical Low $407.38 Median $645.65 Typical High $1,023.29 | Facility | Global | $407.38 | $645.65 | $1,023.29 |
Horizon BCBS Setting Professional Modifier Global Typical Low $52.48 Median $102.33 Typical High $251.19 | Professional | Global | $52.48 | $102.33 | $251.19 |
United Setting Facility Modifier Global Typical Low $1,148.15 Median $2,754.23 Typical High $6,760.83 | Facility | Global | $1,148.15 | $2,754.23 | $6,760.83 |
United Setting Professional Modifier Global Typical Low $61.66 Median $112.20 Typical High $186.21 | Professional | Global | $61.66 | $112.20 | $186.21 |
Where New Jersey sits
The same service costs 3.7 times more in Wisconsin than in Maine. 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· 44th of 51
$120
WI $372ME $100
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.