How much rates vary
Facilitymedian $1,778 · 10th to 90th $427 to $3,802Professionalmedian $275 · 10th to 90th $166 to $631
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 $457.09 Median $1,819.70 Typical High $3,801.89 | Facility | Global | $457.09 | $1,819.70 | $3,801.89 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $117.49 Typical High $177.83 | Facility | 53 · Discontinued | $66.07 | $117.49 | $177.83 |
Aetna Setting Professional Modifier Global Typical Low $162.18 Median $275.42 Typical High $588.84 | Professional | Global | $162.18 | $275.42 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $74.13 Typical High $169.82 | Professional | 53 · Discontinued | $35.48 | $74.13 | $169.82 |
Ambetter Setting Professional Modifier Global Typical Low $162.18 Median $194.98 Typical High $323.59 | Professional | Global | $162.18 | $194.98 | $323.59 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $134.90 Typical High $165.96 | Professional | 53 · Discontinued | $81.28 | $134.90 | $165.96 |
BCBS Setting Facility Modifier Global Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | Global | $257.04 | $257.04 | $257.04 |
BCBS Setting Professional Modifier Global Typical Low $165.96 Median $269.15 Typical High $630.96 | Professional | Global | $165.96 | $269.15 | $630.96 |
CareSource Setting Facility Modifier Global Typical Low $20.89 Median $39.81 Typical High $234.42 | Facility | Global | $20.89 | $39.81 | $234.42 |
CareSource Setting Professional Modifier Global Typical Low $48.98 Median $61.66 Typical High $436.52 | Professional | Global | $48.98 | $61.66 | $436.52 |
Cigna Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $398.11 | Professional | Global | $302.00 | $302.00 | $398.11 |
Cigna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $173.78 Typical High $251.19 | Professional | 53 · Discontinued | $89.13 | $173.78 | $251.19 |
Health Alliance Plan Setting Facility Modifier Global Typical Low $186.21 Median $346.74 Typical High $4,897.79 | Facility | Global | $186.21 | $346.74 | $4,897.79 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $165.96 Typical High $371.54 | Facility | 53 · Discontinued | $93.33 | $165.96 | $371.54 |
Health Alliance Plan Setting Professional Modifier Global Typical Low $173.78 Median $331.13 Typical High $562.34 | Professional | Global | $173.78 | $331.13 | $562.34 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $147.91 Typical High $239.88 | Professional | 53 · Discontinued | $77.62 | $147.91 | $239.88 |
Priority Health Setting Professional Modifier Global Typical Low $208.93 Median $389.05 Typical High $1,412.54 | Professional | Global | $208.93 | $389.05 | $1,412.54 |
Priority Health Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | 53 · Discontinued | $229.09 | $229.09 | $269.15 |
United Setting Facility Modifier Global Typical Low $316.23 Median $1,778.28 Typical High $4,265.80 | Facility | Global | $316.23 | $1,778.28 | $4,265.80 |
United Setting Professional Modifier Global Typical Low $190.55 Median $331.13 Typical High $575.44 | Professional | Global | $190.55 | $331.13 | $575.44 |
United Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $144.54 Typical High $295.12 | Professional | 53 · Discontinued | $87.10 | $144.54 | $295.12 |
Where Michigan 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.