How much rates vary
Facilitymedian $8,710 · 10th to 90th $3,467 to $21,380Professionalmedian $3,236 · 10th to 90th $2,630 to $7,943
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 $7,943.28 Median $7,943.28 Typical High $33,884.42 | Facility | None | $7,943.28 | $7,943.28 | $33,884.42 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $7,943.28 Typical High $10,000.00 | Professional | None | $3,162.28 | $7,943.28 | $10,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,548.82 Median $3,981.07 Typical High $5,011.87 | Professional | 52 · Reduced service | $1,548.82 | $3,981.07 | $5,011.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $1,584.89 Typical High $1,995.26 | Professional | 53 · Discontinued | $616.60 | $1,584.89 | $1,995.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $5,888.44 Typical High $7,585.78 | Professional | 54 · Surgery only | $2,344.23 | $5,888.44 | $7,585.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $1,202.26 Typical High $1,513.56 | Professional | 55 · Aftercare only | $467.74 | $1,202.26 | $1,513.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $794.33 Typical High $1,000.00 | Professional | 56 · Pre-op care only | $309.03 | $794.33 | $1,000.00 |
Ambetter Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Emblem Health Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $7,762.47 | Professional | None | $4,365.16 | $4,365.16 | $7,762.47 |
Horizon BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $5,248.07 | Professional | None | $2,754.23 | $3,235.94 | $5,248.07 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $8,709.64 Typical High $21,379.62 | Facility | None | $3,467.37 | $8,709.64 | $21,379.62 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $3,090.30 Typical High $5,248.07 | Professional | None | $1,096.48 | $3,090.30 | $5,248.07 |
Where New Jersey sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 23rd of 51
$3,236
AK $8,511MO $603
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.