How much rates vary
Facilitymedian $3,090 · 10th to 90th $603 to $8,318Professionalmedian $282 · 10th to 90th $148 to $575
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 $602.56 Median $3,090.30 Typical High $8,128.31 | Facility | Global | $602.56 | $3,090.30 | $8,128.31 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $77.62 Median $107.15 Typical High $162.18 | Facility | 52 · Reduced service | $77.62 | $107.15 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $66.07 Typical High $134.90 | Facility | 53 · Discontinued | $35.48 | $66.07 | $134.90 |
Aetna Setting Professional Modifier Global Typical Low $147.91 Median $281.84 Typical High $616.60 | Professional | Global | $147.91 | $281.84 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $72.44 Typical High $169.82 | Professional | 53 · Discontinued | $34.67 | $72.44 | $169.82 |
Ambetter Setting Professional Modifier Global Typical Low $158.49 Median $190.55 Typical High $363.08 | Professional | Global | $158.49 | $190.55 | $363.08 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $85.11 Typical High $165.96 | Professional | 53 · Discontinued | $79.43 | $85.11 | $165.96 |
AvMed Setting Facility Modifier Global Typical Low $120.23 Median $489.78 Typical High $1,202.26 | Facility | Global | $120.23 | $489.78 | $1,202.26 |
AvMed Setting Professional Modifier Global Typical Low $89.13 Median $194.98 Typical High $407.38 | Professional | Global | $89.13 | $194.98 | $407.38 |
Cigna Setting Facility Modifier Global Typical Low $371.54 Median $489.78 Typical High $1,778.28 | Facility | Global | $371.54 | $489.78 | $1,778.28 |
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 $467.74 | Facility | 53 · Discontinued | $74.13 | $74.13 | $467.74 |
Cigna Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | Global | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $134.90 Typical High $229.09 | Professional | 53 · Discontinued | $75.86 | $134.90 | $229.09 |
Florida Blue Setting Facility Modifier Global Typical Low $870.96 Median $3,801.89 Typical High $194,984.46 | Facility | Global | $870.96 | $3,801.89 | $194,984.46 |
Florida Blue Setting Facility Modifier 53 · Discontinued Typical Low $52,480.75 Median $154,881.66 Typical High $309,029.54 | Facility | 53 · Discontinued | $52,480.75 | $154,881.66 | $309,029.54 |
Florida Blue Setting Professional Modifier Global Typical Low $194.98 Median $354.81 Typical High $467.74 | Professional | Global | $194.98 | $354.81 | $467.74 |
Florida Blue Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $131.83 Typical High $218.78 | Professional | 53 · Discontinued | $64.57 | $131.83 | $218.78 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $239.88 | Professional | Global | $32.36 | $33.11 | $239.88 |
United Setting Facility Modifier Global Typical Low $398.11 Median $2,187.76 Typical High $5,011.87 | Facility | Global | $398.11 | $2,187.76 | $5,011.87 |
United Setting Professional Modifier Global Typical Low $165.96 Median $295.12 Typical High $575.44 | Professional | Global | $165.96 | $295.12 | $575.44 |
United Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $204.17 Typical High $338.84 | Professional | 53 · Discontinued | $100.00 | $204.17 | $338.84 |
Wellpoint Setting Professional Modifier Global Typical Low $151.36 Median $281.84 Typical High $389.05 | Professional | Global | $151.36 | $281.84 | $389.05 |
Wellpoint Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $141.25 Typical High $194.98 | Professional | 53 · Discontinued | $75.86 | $141.25 | $194.98 |
Where Florida sits
The same service costs 11.0 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 $5,812MD $528
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.