How much rates vary
Facilitymedian $2,188 · 10th to 90th $257 to $4,266Professionalmedian $288 · 10th to 90th $170 to $550
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $245.47 Median $1,584.89 Typical High $5,370.32 | Facility | Global | $245.47 | $1,584.89 | $5,370.32 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $154.88 | Facility | 52 · Reduced service | $141.25 | $141.25 | $154.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $141.25 Typical High $295.12 | Facility | 53 · Discontinued | $56.23 | $141.25 | $295.12 |
Aetna Setting Professional Modifier Global Typical Low $165.96 Median $275.42 Typical High $575.44 | Professional | Global | $165.96 | $275.42 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $75.86 Typical High $190.55 | Professional | 53 · Discontinued | $34.67 | $75.86 | $190.55 |
Ambetter Setting Professional Modifier Global Typical Low $154.88 Median $199.53 Typical High $223.87 | Professional | Global | $154.88 | $199.53 | $223.87 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $144.54 | Professional | 53 · Discontinued | $77.62 | $77.62 | $144.54 |
Anthem BCBS Setting Facility Modifier Global Typical Low $1,584.89 Median $2,454.71 Typical High $4,265.80 | Facility | Global | $1,584.89 | $2,454.71 | $4,265.80 |
Anthem BCBS Setting Professional Modifier Global Typical Low $213.80 Median $338.84 Typical High $389.05 | Professional | Global | $213.80 | $338.84 | $389.05 |
Anthem BCBS Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $173.78 Typical High $323.59 | Professional | 53 · Discontinued | $81.28 | $173.78 | $323.59 |
CareSource Setting Facility Modifier Global Typical Low $21.88 Median $169.82 Typical High $245.47 | Facility | Global | $21.88 | $169.82 | $245.47 |
CareSource Setting Professional Modifier Global Typical Low $39.81 Median $208.93 Typical High $426.58 | Professional | Global | $39.81 | $208.93 | $426.58 |
Cigna Setting Facility Modifier Global Typical Low $371.54 Median $371.54 Typical High $1,862.09 | Facility | Global | $371.54 | $371.54 | $1,862.09 |
Cigna Setting Facility Modifier 22 · Increased work Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | 22 · Increased work | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier Global Typical Low $257.04 Median $302.00 Typical High $1,819.70 | Professional | Global | $257.04 | $302.00 | $1,819.70 |
Cigna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $104.71 Typical High $213.80 | Professional | 53 · Discontinued | $48.98 | $104.71 | $213.80 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $380.19 | Professional | Global | $32.36 | $33.11 | $380.19 |
United Setting Facility Modifier Global Typical Low $389.05 Median $1,621.81 Typical High $2,630.27 | Facility | Global | $389.05 | $1,621.81 | $2,630.27 |
United Setting Professional Modifier Global Typical Low $181.97 Median $323.59 Typical High $562.34 | Professional | Global | $181.97 | $323.59 | $562.34 |
United Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $95.50 Typical High $245.47 | Professional | 53 · Discontinued | $43.65 | $95.50 | $245.47 |
Where Kentucky sits
The same service costs 9.5 times more in New Jersey than in Maryland. 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.
Physician feeFacility fee
NJ $5,932MD $626
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.