How much rates vary
Facilitymedian $1,698 · 10th to 90th $339 to $3,548Professionalmedian $275 · 10th to 90th $170 to $603
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 $346.74 Median $1,737.80 Typical High $3,548.13 | Facility | Global | $346.74 | $1,737.80 | $3,548.13 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $91.20 Median $245.47 Typical High $1,380.38 | Facility | 52 · Reduced service | $91.20 | $245.47 | $1,380.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $117.49 Typical High $213.80 | Facility | 53 · Discontinued | $91.20 | $117.49 | $213.80 |
Aetna Setting Professional Modifier Global Typical Low $169.82 Median $281.84 Typical High $602.56 | Professional | Global | $169.82 | $281.84 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $75.86 Typical High $169.82 | Professional | 53 · Discontinued | $35.48 | $75.86 | $169.82 |
Ambetter Setting Professional Modifier Global Typical Low $162.18 Median $223.87 Typical High $323.59 | Professional | Global | $162.18 | $223.87 | $323.59 |
Ambetter Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | 53 · Discontinued | $81.28 | $81.28 | $138.04 |
BCBS Setting Facility Modifier Global Typical Low $43.65 Median $158.49 Typical High $158.49 | Facility | Global | $43.65 | $158.49 | $158.49 |
BCBS Setting Professional Modifier Global Typical Low $239.88 Median $275.42 Typical High $537.03 | Professional | Global | $239.88 | $275.42 | $537.03 |
CareSource Setting Facility Modifier Global Typical Low $21.38 Median $39.81 Typical High $234.42 | Facility | Global | $21.38 | $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 $363.08 | Professional | 53 · Discontinued | $89.13 | $173.78 | $363.08 |
Health Alliance Plan Setting Facility Modifier Global Typical Low $186.21 Median $338.84 Typical High $2,884.03 | Facility | Global | $186.21 | $338.84 | $2,884.03 |
Health Alliance Plan Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $165.96 Typical High $229.09 | Facility | 53 · Discontinued | $93.33 | $165.96 | $229.09 |
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 $79.43 Median $147.91 Typical High $245.47 | Professional | 53 · Discontinued | $79.43 | $147.91 | $245.47 |
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 $363.08 Median $363.08 Typical High $426.58 | Professional | 53 · Discontinued | $363.08 | $363.08 | $426.58 |
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 $194.98 Median $338.84 Typical High $575.44 | Professional | Global | $194.98 | $338.84 | $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 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.