How much rates vary
Facilitymedian $10 · 10th to 90th $9 to $1,445Professionalmedian $13 · 10th to 90th $9 to $23
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 $8.91 Median $10.00 Typical High $41.69 | Facility | None | $8.91 | $10.00 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $23.44 | Professional | None | $8.91 | $10.00 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $4.47 Typical High $5.01 | Professional | 52 · Reduced service | $4.47 | $4.47 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $2.00 | Professional | 53 · Discontinued | $1.82 | $1.82 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.35 Median $1.35 Typical High $1.51 | Professional | 55 · Aftercare only | $1.35 | $1.35 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.89 Median $0.89 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.89 | $0.89 | $1.00 |
AmeriHealth Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,621.81 | Facility | None | $691.83 | $851.14 | $1,621.81 |
AmeriHealth Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $26.92 | Professional | None | $17.38 | $21.38 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $17.38 | Professional | None | $11.75 | $14.13 | $17.38 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $6,456.54 | Facility | None | $5,888.44 | $5,888.44 | $6,456.54 |
Horizon BCBS Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $9.77 Median $14.13 Typical High $22.91 | Professional | None | $9.77 | $14.13 | $22.91 |
Where New Jersey sits
The same service costs 5.6 times more in Alabama than in Kentucky. 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· 42nd of 51
$12.59
AL $56.23KY $10.00
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.