How much rates vary
Facilitymedian $603 · 10th to 90th $87 to $20,893Professionalmedian $87 · 10th to 90th $85 to $95
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 $87.10 Median $87.10 Typical High $316.23 | Facility | None | $87.10 | $87.10 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $8.71 |
AmeriHealth Setting Facility Modifier None Typical Low $93.33 Median $512.86 Typical High $1,174.90 | Facility | None | $93.33 | $512.86 | $1,174.90 |
AmeriHealth Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $144.54 | Facility | None | $85.11 | $95.50 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | None | $93.33 | $95.50 | $95.50 |
Horizon BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $15,848.93 Typical High $27,542.29 | Facility | None | $4,365.16 | $15,848.93 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | None | $85.11 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $131.83 | Professional | None | $85.11 | $91.20 | $131.83 |
Where New Jersey sits
The same service costs 1.7 times more in Texas than in Arkansas. 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
$87.10
TX $148AR $85.11
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.