How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $4Professionalmedian $1 · 10th to 90th $1 to $3
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 $0.85 Median $0.85 Typical High $2.00 | Facility | None | $0.85 | $0.85 | $2.00 |
Aetna Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.87 | Professional | None | $0.85 | $0.85 | $0.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.43 Median $0.43 Typical High $0.47 | Professional | 52 · Reduced service | $0.43 | $0.43 | $0.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.17 Typical High $0.19 | Professional | 53 · Discontinued | $0.17 | $0.17 | $0.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.14 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
Cigna Setting Facility Modifier None Typical Low $0.85 Median $0.98 Typical High $1.45 | Facility | None | $0.85 | $0.98 | $1.45 |
Cigna Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Horizon BCBS Setting Facility Modifier None Typical Low $1.00 Median $2.34 Typical High $3.89 | Facility | None | $1.00 | $2.34 | $3.89 |
Horizon BCBS Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | None | $2.88 | $2.88 | $2.88 |
United Setting Facility Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Facility | None | $0.85 | $0.85 | $0.85 |
United Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.23 | Professional | None | $1.00 | $1.00 | $1.23 |
Where New Jersey sits
The same service costs 4.1 times more in Oklahoma 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· 16th of 51
$1.00
OK $3.47ND $0.85
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.