How much rates vary
Facilitymedian $9,333 · 10th to 90th $4,467 to $15,488Professionalmedian $708 · 10th to 90th $589 to $8,511
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 $4,466.84 Median $9,332.54 Typical High $15,488.17 | Facility | Global | $4,466.84 | $9,332.54 | $15,488.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $147.91 Median $151.36 Typical High $151.36 | Facility | 53 · Discontinued | $147.91 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $549.54 Median $562.34 Typical High $562.34 | Facility | 54 · Surgery only | $549.54 | $562.34 | $562.34 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 55 · Aftercare only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier Global Typical Low $588.84 Median $707.95 Typical High $12,302.69 | Professional | Global | $588.84 | $707.95 | $12,302.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $102.33 Typical High $123.03 | Professional | 55 · Aftercare only | $87.10 | $102.33 | $123.03 |
AmeriHealth Setting Professional Modifier Global Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | Global | $602.56 | $602.56 | $831.76 |
Cigna Setting Professional Modifier Global Typical Low $537.03 Median $870.96 Typical High $2,187.76 | Professional | Global | $537.03 | $870.96 | $2,187.76 |
Emblem Health Setting Professional Modifier Global Typical Low $588.84 Median $707.95 Typical High $933.25 | Professional | Global | $588.84 | $707.95 | $933.25 |
Horizon BCBS Setting Facility Modifier Global Typical Low $1,698.24 Median $15,848.93 Typical High $26,302.68 | Facility | Global | $1,698.24 | $15,848.93 | $26,302.68 |
Horizon BCBS Setting Professional Modifier Global Typical Low $562.34 Median $758.58 Typical High $1,584.89 | Professional | Global | $562.34 | $758.58 | $1,584.89 |
United Setting Facility Modifier Global Typical Low $3,467.37 Median $8,709.64 Typical High $19,498.45 | Facility | Global | $3,467.37 | $8,709.64 | $19,498.45 |
United Setting Professional Modifier Global Typical Low $478.63 Median $724.44 Typical High $1,348.96 | Professional | Global | $478.63 | $724.44 | $1,348.96 |
Where New Jersey sits
The same service costs 10.7 times more in New Mexico than in West Virginia. 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
NM $14,445WV $1,352
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.