How much rates vary
Facilitymedian $1,738 · 10th to 90th $977 to $2,291Professionalmedian $1,288 · 10th to 90th $832 to $2,291
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $831.76 Median $831.76 Typical High $891.25 | Facility | None | $831.76 | $831.76 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,047.13 | Professional | None | $831.76 | $831.76 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $524.81 | Professional | 52 · Reduced service | $416.87 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $208.93 | Professional | 53 · Discontinued | $165.96 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $158.49 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,737.80 | $1,737.80 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,288.25 | $1,737.80 |
Emblem Health Setting Professional Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $3,019.95 | Professional | None | $1,513.56 | $3,019.95 | $3,019.95 |
Horizon BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,630.27 | Facility | None | $977.24 | $1,148.15 | $2,630.27 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,288.25 | $2,187.76 |
Where New Jersey sits
The same service costs 2.1 times more in Montana than in Pennsylvania. 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· 43rd of 51
$1,288
MT $2,692PA $1,259
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.