How much rates vary
Facilitymedian $1,778 · 10th to 90th $105 to $7,079Professionalmedian $245 · 10th to 90th $105 to $617
Distribution of negotiated rates across all payers (price axis is log-scale). 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 None Typical Low $104.71 Median $104.71 Typical High $245.47 | Facility | None | $104.71 | $104.71 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $245.47 Typical High $245.47 | Professional | None | $104.71 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $52.48 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $20.89 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $15.49 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $10.47 | $24.55 | $24.55 |
AmeriHealth Setting Facility Modifier None Typical Low $630.96 Median $5,248.07 Typical High $8,912.51 | Facility | None | $630.96 | $5,248.07 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $3,235.94 | Facility | None | $1,513.56 | $2,511.89 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,884.03 | Facility | None | $1,318.26 | $1,318.26 | $2,884.03 |
Where New Jersey sits
The same service costs 190.5 times more in North Carolina than in North Dakota. 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.
New Jersey· 26th of 51
$245
NC $1,096ND $5.75
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.