How much rates vary
Facilitymedian $1,698 · 10th to 90th $347 to $6,310Professionalmedian $324 · 10th to 90th $138 to $724
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 $2,570.40 Median $5,248.07 Typical High $10,964.78 | Facility | None | $2,570.40 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $489.78 | Professional | None | $190.55 | $281.84 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $107.15 Typical High $245.47 | Professional | 52 · Reduced service | $95.50 | $107.15 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $43.65 Typical High $100.00 | Professional | 53 · Discontinued | $38.02 | $43.65 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $162.18 Typical High $371.54 | Professional | 54 · Surgery only | $144.54 | $162.18 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $32.36 Typical High $74.13 | Professional | 55 · Aftercare only | $28.84 | $32.36 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $21.88 Typical High $48.98 | Professional | 56 · Pre-op care only | $19.05 | $21.88 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $2,754.23 | Facility | None | $1,023.29 | $1,659.59 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $478.63 | Professional | None | $331.13 | $467.74 | $478.63 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $2,089.30 | Facility | None | $1,000.00 | $1,513.56 | $2,089.30 |
Horizon BCBS Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $891.25 | Professional | None | $524.81 | $616.60 | $891.25 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,412.54 Typical High $3,801.89 | Facility | None | $316.23 | $1,412.54 | $3,801.89 |
United Setting Professional Modifier None Typical Low $102.33 Median $223.87 Typical High $891.25 | Professional | None | $102.33 | $223.87 | $891.25 |
Where New Jersey sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 12th of 51
$447
WI $813UT $288
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.