How much rates vary
Facilitymedian $550 · 10th to 90th $186 to $4,169Professionalmedian $427 · 10th to 90th $182 to $933
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 $257.04 Median $1,258.93 Typical High $5,248.07 | Facility | Global | $257.04 | $1,258.93 | $5,248.07 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $263.03 | Facility | 52 · Reduced service | $89.13 | $89.13 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $70.79 Median $138.04 Typical High $257.04 | Facility | 53 · Discontinued | $70.79 | $138.04 | $257.04 |
Aetna Setting Professional Modifier Global Typical Low $169.82 Median $302.00 Typical High $933.25 | Professional | Global | $169.82 | $302.00 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $81.28 Typical High $194.98 | Professional | 53 · Discontinued | $36.31 | $81.28 | $194.98 |
Ambetter Setting Professional Modifier Global Typical Low $158.49 Median $194.98 Typical High $489.78 | Professional | Global | $158.49 | $194.98 | $489.78 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
BCBS Setting Facility Modifier Global Typical Low $524.81 Median $602.56 Typical High $676.08 | Facility | Global | $524.81 | $602.56 | $676.08 |
BCBS Setting Professional Modifier Global Typical Low $281.84 Median $549.54 Typical High $933.25 | Professional | Global | $281.84 | $549.54 | $933.25 |
Cigna Setting Facility Modifier Global Typical Low $489.78 Median $602.56 Typical High $954.99 | Facility | Global | $489.78 | $602.56 | $954.99 |
Cigna Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $436.52 | Professional | Global | $302.00 | $302.00 | $436.52 |
Cigna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $158.49 | $169.82 | $169.82 |
Medcost Setting Professional Modifier Global Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | Global | $602.56 | $602.56 | $602.56 |
Medcost Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $194.98 | $194.98 | $194.98 |
Medcost Setting Facility Modifier Global Typical Low $181.97 Median $338.84 Typical High $588.84 | Facility | Global | $181.97 | $338.84 | $588.84 |
Medcost Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $851.14 | Professional | Global | $302.00 | $302.00 | $851.14 |
Medcost Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $478.63 | Professional | 53 · Discontinued | $426.58 | $426.58 | $478.63 |
Oscar Health Setting Facility Modifier Global Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | Global | $2,691.53 | $2,691.53 | $2,691.53 |
Oscar Health Setting Professional Modifier Global Typical Low $446.68 Median $446.68 Typical High $478.63 | Professional | Global | $446.68 | $446.68 | $478.63 |
United Setting Facility Modifier Global Typical Low $251.19 Median $1,348.96 Typical High $3,467.37 | Facility | Global | $251.19 | $1,348.96 | $3,467.37 |
United Setting Professional Modifier Global Typical Low $177.83 Median $316.23 Typical High $562.34 | Professional | Global | $177.83 | $316.23 | $562.34 |
United Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $208.93 Typical High $354.81 | Professional | 53 · Discontinued | $100.00 | $208.93 | $354.81 |
Wellcare Setting Facility Modifier Global Typical Low $2,884.03 Median $2,884.03 Typical High $28,840.32 | Facility | Global | $2,884.03 | $2,884.03 | $28,840.32 |
Wellcare Setting Facility Modifier 52 · Reduced service Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | 52 · Reduced service | $2,290.87 | $2,290.87 | $2,290.87 |
Wellcare Setting Facility Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Wellcare Setting Professional Modifier Global Typical Low $2,187.76 Median $2,187.76 Typical High $2,818.38 | Professional | Global | $2,187.76 | $2,187.76 | $2,818.38 |
Where North Carolina 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.