How much rates vary
Facilitymedian $2,188 · 10th to 90th $257 to $4,365Professionalmedian $295 · 10th to 90th $170 to $617
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 $1,584.89 Typical High $5,248.07 | Facility | Global | $257.04 | $1,584.89 | $5,248.07 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $77.62 Median $85.11 Typical High $141.25 | Facility | 52 · Reduced service | $77.62 | $85.11 | $141.25 |
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 $169.82 Median $281.84 Typical High $933.25 | Professional | Global | $169.82 | $281.84 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $77.62 Typical High $194.98 | Professional | 53 · Discontinued | $34.67 | $77.62 | $194.98 |
Ambetter Setting Professional Modifier Global Typical Low $154.88 Median $194.98 Typical High $229.09 | Professional | Global | $154.88 | $194.98 | $229.09 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier Global Typical Low $1,548.82 Median $2,454.71 Typical High $4,073.80 | Facility | Global | $1,548.82 | $2,454.71 | $4,073.80 |
Anthem BCBS Setting Professional Modifier Global Typical Low $213.80 Median $338.84 Typical High $380.19 | Professional | Global | $213.80 | $338.84 | $380.19 |
Anthem BCBS Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $173.78 Typical High $323.59 | Professional | 53 · Discontinued | $83.18 | $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 $40.74 Median $213.80 Typical High $426.58 | Professional | Global | $40.74 | $213.80 | $426.58 |
Cigna Setting Facility Modifier Global Typical Low $302.00 Median $371.54 Typical High $1,862.09 | Facility | Global | $302.00 | $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 $269.15 Median $302.00 Typical High $1,819.70 | Professional | Global | $269.15 | $302.00 | $1,819.70 |
Cigna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $104.71 Typical High $223.87 | Professional | 53 · Discontinued | $48.98 | $104.71 | $223.87 |
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $251.19 | Professional | Global | $32.36 | $33.11 | $251.19 |
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 $104.71 Typical High $257.04 | Professional | 53 · Discontinued | $43.65 | $104.71 | $257.04 |
Where Kentucky 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.