How much rates vary
Facilitymedian $95 · 10th to 90th $10 to $309Professionalmedian $19 · 10th to 90th $10 to $35
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 $10.00 Median $16.98 Typical High $229.09 | Facility | None | $10.00 | $16.98 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $38.02 | Professional | None | $10.00 | $16.98 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $5.01 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $2.00 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $2.51 Typical High $2.51 | Professional | 55 · Aftercare only | $1.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.70 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.00 | $1.70 | $1.70 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | None | $21.38 | $21.38 | $25.12 |
AmeriHealth Setting Professional Modifier None Typical Low $18.62 Median $28.18 Typical High $37.15 | Professional | None | $18.62 | $28.18 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $28.18 | Professional | None | $15.85 | $19.95 | $28.18 |
Horizon BCBS Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $407.38 | Facility | None | $162.18 | $263.03 | $407.38 |
Horizon BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $302.00 | Facility | None | $138.04 | $138.04 | $302.00 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $31.62 | Professional | None | $12.88 | $18.62 | $31.62 |
Where New Jersey sits
The same service costs 5.4 times more in Vermont than in Kansas. 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
$19.05
VT $75.86KS $14.13
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.