How much rates vary
Facilitymedian $3,715 · 10th to 90th $295 to $7,079Professionalmedian $309 · 10th to 90th $170 to $490
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 $3,630.78 Typical High $5,623.41 | Facility | Global | $257.04 | $3,630.78 | $5,623.41 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $85.11 Median $158.49 Typical High $158.49 | Facility | 52 · Reduced service | $85.11 | $158.49 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $141.25 Typical High $245.47 | Facility | 53 · Discontinued | $63.10 | $141.25 | $245.47 |
Aetna Setting Professional Modifier Global Typical Low $169.82 Median $275.42 Typical High $416.87 | Professional | Global | $169.82 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $75.86 Typical High $165.96 | Professional | 53 · Discontinued | $34.67 | $75.86 | $165.96 |
Ambetter Setting Professional Modifier Global Typical Low $158.49 Median $190.55 Typical High $263.03 | Professional | Global | $158.49 | $190.55 | $263.03 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $91.20 Typical High $138.04 | Professional | 53 · Discontinued | $81.28 | $91.20 | $138.04 |
Anthem BCBS Setting Facility Modifier Global Typical Low $2,344.23 Median $4,073.80 Typical High $8,317.64 | Facility | Global | $2,344.23 | $4,073.80 | $8,317.64 |
Anthem BCBS Setting Professional Modifier Global Typical Low $213.80 Median $380.19 Typical High $588.84 | Professional | Global | $213.80 | $380.19 | $588.84 |
Anthem BCBS Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $177.83 Typical High $354.81 | Professional | 53 · Discontinued | $83.18 | $177.83 | $354.81 |
CareSource Setting Facility Modifier Global Typical Low $23.99 Median $134.90 Typical High $234.42 | Facility | Global | $23.99 | $134.90 | $234.42 |
CareSource Setting Professional Modifier Global Typical Low $41.69 Median $154.88 Typical High $426.58 | Professional | Global | $41.69 | $154.88 | $426.58 |
Cigna Setting Facility Modifier Global Typical Low $275.42 Median $302.00 Typical High $758.58 | Facility | Global | $275.42 | $302.00 | $758.58 |
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 $302.00 Median $302.00 Typical High $467.74 | Professional | Global | $302.00 | $302.00 | $467.74 |
Cigna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $151.36 Typical High $275.42 | Professional | 53 · Discontinued | $93.33 | $151.36 | $275.42 |
United Setting Facility Modifier Global Typical Low $1,659.59 Median $3,467.37 Typical High $4,466.84 | Facility | Global | $1,659.59 | $3,467.37 | $4,466.84 |
United Setting Professional Modifier Global Typical Low $177.83 Median $309.03 Typical High $537.03 | Professional | Global | $177.83 | $309.03 | $537.03 |
United Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $134.90 Typical High $173.78 | Professional | 53 · Discontinued | $100.00 | $134.90 | $173.78 |
Where Indiana 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.