How much rates vary
Facilitymedian $9,120 · 10th to 90th $2,138 to $43,652Professionalmedian $1,148 · 10th to 90th $912 to $1,148
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 $1,148.15 Median $9,772.37 Typical High $18,620.87 | Facility | None | $1,148.15 | $9,772.37 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | None | $912.01 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $457.09 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $181.97 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $691.83 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $138.04 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $91.20 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $13,489.63 Median $23,988.33 Typical High $47,863.01 | Facility | None | $13,489.63 | $23,988.33 | $47,863.01 |
Horizon BCBS Setting Facility Modifier None Typical Low $7,413.10 Median $13,489.63 Typical High $69,183.10 | Facility | None | $7,413.10 | $13,489.63 | $69,183.10 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $5,623.41 Typical High $41,686.94 | Facility | None | $1,659.59 | $5,623.41 | $41,686.94 |
Where New Jersey sits
The same service costs 5754.4 times more in Oklahoma than in Maine. 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· 37th of 51
$6,310
OK $22,909ME $3.98
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.