How much rates vary
Facilitymedian $309 · 10th to 90th $95 to $4,074Professionalmedian $240 · 10th to 90th $95 to $1,072
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 $95.50 Median $95.50 Typical High $239.88 | Facility | None | $95.50 | $95.50 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $239.88 Typical High $239.88 | Professional | None | $81.28 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $40.74 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $19.05 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $14.13 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $9.55 | $23.99 | $23.99 |
AmeriHealth Setting Facility Modifier None Typical Low $251.19 Median $2,630.27 Typical High $4,677.35 | Facility | None | $251.19 | $2,630.27 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Horizon BCBS Setting Facility Modifier None Typical Low $165.96 Median $257.04 Typical High $354.81 | Facility | None | $165.96 | $257.04 | $354.81 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $354.81 | Facility | None | $162.18 | $162.18 | $354.81 |
Where New Jersey sits
The same service costs 35.5 times more in Texas than in Kentucky. 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· 11th of 51
$240
TX $1,072KY $30.20
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.