How much rates vary
Facilitymedian $661 · 10th to 90th $295 to $11,482Professionalmedian $501 · 10th to 90th $275 to $562
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 $275.42 Median $295.12 Typical High $295.12 | Facility | None | $275.42 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | None | $275.42 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | 52 · Reduced service | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | 53 · Discontinued | $54.95 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $33.88 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $33.88 |
AmeriHealth Setting Facility Modifier None Typical Low $5,128.61 Median $9,549.93 Typical High $15,488.17 | Facility | None | $5,128.61 | $9,549.93 | $15,488.17 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $758.58 | Facility | None | $660.69 | $660.69 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $660.69 | Professional | None | $562.34 | $562.34 | $660.69 |
Emblem Health Setting Professional Modifier None Typical Low $501.19 Median $1,000.00 Typical High $1,000.00 | Professional | None | $501.19 | $1,000.00 | $1,000.00 |
Horizon BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $758.58 | Professional | None | $346.74 | $426.58 | $758.58 |
Where New Jersey sits
The same service costs 2.5 times more in Montana than in Washington, DC. 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· 40th of 51
$501
MT $1,047DC $417
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.