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 $1.20 Median $1.20 Typical High $2.09 | Facility | None | $1.20 | $1.20 | $2.09 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.41 | Professional | None | $1.23 | $1.23 | $1.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 52 · Reduced service | $0.62 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.24 Median $0.24 Typical High $0.25 | Professional | 53 · Discontinued | $0.24 | $0.24 | $0.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.18 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.12 |
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 $1.05 Median $1.38 Typical High $2.04 | Facility | None | $1.05 | $1.38 | $2.04 |
Cigna Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | None | $1.20 | $1.20 | $1.20 |
Horizon BCBS Setting Facility Modifier None Typical Low $1.29 Median $1.29 Typical High $1.82 | Facility | None | $1.29 | $1.29 | $1.82 |
Horizon BCBS Setting Professional Modifier None Typical Low $1.32 Median $1.35 Typical High $1.41 | Professional | None | $1.32 | $1.35 | $1.41 |
United Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.58 | Professional | None | $1.29 | $1.29 | $1.58 |
Where New Jersey sits
The same service costs 3.4 times more in Texas than in Oklahoma. 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· 24th of 51
$1.32
TX $3.72OK $1.10
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.