How much rates vary
Facilitymedian $5,495 · 10th to 90th $468 to $10,233Professionalmedian $339 · 10th to 90th $269 to $912
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 $426.58 Median $5,888.44 Typical High $10,471.29 | Facility | Global | $426.58 | $5,888.44 | $10,471.29 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $213.80 Median $263.03 Typical High $436.52 | Facility | 54 · Surgery only | $213.80 | $263.03 | $436.52 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $42.66 Median $58.88 Typical High $87.10 | Facility | 55 · Aftercare only | $42.66 | $58.88 | $87.10 |
Aetna Setting Professional Modifier Global Typical Low $281.84 Median $338.84 Typical High $1,122.02 | Professional | Global | $281.84 | $338.84 | $1,122.02 |
Aetna Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $776.25 Typical High $851.14 | Professional | 50 · Both sides | $602.56 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $239.88 Typical High $302.00 | Professional | 54 · Surgery only | $190.55 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $47.86 Typical High $60.26 | Professional | 55 · Aftercare only | $38.02 | $47.86 | $60.26 |
Ambetter Setting Professional Modifier Global Typical Low $354.81 Median $354.81 Typical High $380.19 | Professional | Global | $354.81 | $354.81 | $380.19 |
AmeriHealth Setting Facility Modifier Global Typical Low $4,168.69 Median $6,918.31 Typical High $10,715.19 | Facility | Global | $4,168.69 | $6,918.31 | $10,715.19 |
AmeriHealth Setting Professional Modifier Global Typical Low $281.84 Median $309.03 Typical High $457.09 | Professional | Global | $281.84 | $309.03 | $457.09 |
Cigna Setting Professional Modifier Global Typical Low $251.19 Median $380.19 Typical High $977.24 | Professional | Global | $251.19 | $380.19 | $977.24 |
Emblem Health Setting Professional Modifier Global Typical Low $144.54 Median $269.15 Typical High $549.54 | Professional | Global | $144.54 | $269.15 | $549.54 |
Horizon BCBS Setting Facility Modifier Global Typical Low $1,202.26 Median $2,041.74 Typical High $2,884.03 | Facility | Global | $1,202.26 | $2,041.74 | $2,884.03 |
Horizon BCBS Setting Professional Modifier Global Typical Low $257.04 Median $380.19 Typical High $776.25 | Professional | Global | $257.04 | $380.19 | $776.25 |
United Setting Facility Modifier Global Typical Low $1,621.81 Median $3,467.37 Typical High $6,760.83 | Facility | Global | $1,621.81 | $3,467.37 | $6,760.83 |
United Setting Professional Modifier Global Typical Low $223.87 Median $302.00 Typical High $575.44 | Professional | Global | $223.87 | $302.00 | $575.44 |
Where New Jersey sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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
$363
AK $933NC $331
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.