How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
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 $1.29 Median $1.29 Typical High $1.91 | Facility | None | $1.29 | $1.29 | $1.91 |
Aetna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.91 | Professional | None | $1.29 | $1.29 | $1.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.65 Median $0.65 Typical High $0.71 | Professional | 52 · Reduced service | $0.65 | $0.65 | $0.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.26 Median $0.26 Typical High $0.28 | Professional | 53 · Discontinued | $0.26 | $0.26 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.21 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.14 |
AmeriHealth Setting Facility Modifier None Typical Low $1.38 Median $1.45 Typical High $1.51 | Facility | None | $1.38 | $1.45 | $1.51 |
Cigna Setting Facility Modifier None Typical Low $1.29 Median $1.45 Typical High $2.19 | Facility | None | $1.29 | $1.45 | $2.19 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | None | $1.29 | $1.29 | $1.29 |
Horizon BCBS Setting Facility Modifier None Typical Low $0.87 Median $1.26 Typical High $12.88 | Facility | None | $0.87 | $1.26 | $12.88 |
Horizon BCBS Setting Professional Modifier None Typical Low $1.26 Median $1.32 Typical High $1.32 | Professional | None | $1.26 | $1.32 | $1.32 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.55 | Professional | None | $1.26 | $1.26 | $1.55 |
Where New Jersey sits
The same service costs 2.5 times more in Texas than in Nebraska. 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· 33rd of 51
$1.29
TX $3.16NE $1.26
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.