How much rates vary
Facilitymedian $40 · 10th to 90th $40 to $40Professionalmedian $25 · 10th to 90th $15 to $41
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 $9.55 Median $40.74 Typical High $53.70 | Facility | None | $9.55 | $40.74 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $40.74 Typical High $40.74 | Professional | None | $24.55 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $13.80 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $5.50 | $8.13 | $8.13 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | None | $14.79 | $14.79 | $17.38 |
BCBS Alabama Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers Typical Low $15.49 Median $22.91 Typical High $22.91 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers | $15.49 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $29.51 Typical High $112.20 | Facility | None | $28.18 | $29.51 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $199.53 | Professional | None | $15.85 | $21.38 | $199.53 |
United Setting Facility Modifier None Typical Low $12.59 Median $31.62 Typical High $35.48 | Facility | None | $12.59 | $31.62 | $35.48 |
United Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $23.44 | Professional | None | $14.79 | $16.98 | $23.44 |
Where Alabama sits
The same service costs 3.5 times more in Vermont than in New Jersey. 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.
Alabama· 20th of 51
$39.81
VT $87.10NJ $25.12
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.