How much rates vary
Facilitymedian $195 · 10th to 90th $132 to $537Professionalmedian $102 · 10th to 90th $81 to $132
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 $81.28 Median $95.50 Typical High $131.83 | Facility | None | $81.28 | $95.50 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $131.83 | Professional | None | $81.28 | $81.28 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $64.57 | Professional | 52 · Reduced service | $40.74 | $40.74 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $26.30 | Professional | 53 · Discontinued | $16.22 | $16.22 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $19.50 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $194.98 | Professional | None | $102.33 | $151.36 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Emblem Health Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $537.03 | Facility | None | $138.04 | $218.78 | $537.03 |
Emblem Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | None | $154.88 | $154.88 | $229.09 |
Where New York sits
The same service costs 83.2 times more in North Dakota 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 York· 37th of 51
$102
ND $251KS $3.02
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.