How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $11Professionalmedian $11 · 10th to 90th $3 to $15
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 $3.02 Median $3.02 Typical High $8.91 | Facility | None | $3.02 | $3.02 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $8.91 Typical High $14.79 | Professional | None | $3.02 | $8.91 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $4.47 Typical High $4.47 | Professional | 52 · Reduced service | $1.51 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $0.60 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.45 Median $1.35 Typical High $1.35 | Professional | 55 · Aftercare only | $0.45 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.89 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.30 | $0.89 | $0.89 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
AmeriHealth Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $13.49 Typical High $14.79 | Professional | None | $8.91 | $13.49 | $14.79 |
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 $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.88 Typical High $17.38 | Professional | None | $8.32 | $12.88 | $17.38 |
Where New Jersey sits
The same service costs 6.6 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· 45th of 51
$10.72
AL $56.23KY $8.51
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.