How much rates vary
Facilitymedian $57,544 · 10th to 90th $14,125 to $134,896Professionalmedian $18,197 · 10th to 90th $14,125 to $18,197
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 $14,125.38 Median $14,125.38 Typical High $18,197.01 | Facility | None | $14,125.38 | $14,125.38 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $14,125.38 Median $18,197.01 Typical High $18,197.01 | Professional | None | $14,125.38 | $18,197.01 | $18,197.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7,079.46 Median $9,120.11 Typical High $9,120.11 | Professional | 52 · Reduced service | $7,079.46 | $9,120.11 | $9,120.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,818.38 Median $3,630.78 Typical High $3,630.78 | Professional | 53 · Discontinued | $2,818.38 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,137.96 Median $2,754.23 Typical High $2,754.23 | Professional | 55 · Aftercare only | $2,137.96 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,412.54 Median $1,819.70 Typical High $1,819.70 | Professional | 56 · Pre-op care only | $1,412.54 | $1,819.70 | $1,819.70 |
AmeriHealth Setting Facility Modifier None Typical Low $60,255.96 Median $109,647.82 Typical High $181,970.09 | Facility | None | $60,255.96 | $109,647.82 | $181,970.09 |
Horizon BCBS Setting Facility Modifier None Typical Low $33,884.42 Median $57,543.99 Typical High $74,131.02 | Facility | None | $33,884.42 | $57,543.99 | $74,131.02 |
United Setting Facility Modifier None Typical Low $33,113.11 Median $33,113.11 Typical High $72,443.60 | Facility | None | $33,113.11 | $33,113.11 | $72,443.60 |
Where New Jersey sits
The same service costs 524.8 times more in Oklahoma than in Montana. 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· 20th of 51
$18,197
OK $41,687MT $79.43
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.