How much rates vary
Facilitymedian $9,550 · 10th to 90th $0 to $23,988Professionalmedian $0 · 10th to 90th $0 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 $0.34 Median $0.34 Typical High $0.41 | Facility | None | $0.34 | $0.34 | $0.41 |
Aetna Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | None | $0.35 | $0.35 | $0.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 52 · Reduced service | $0.18 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
AmeriHealth Setting Facility Modifier None Typical Low $0.16 Median $0.50 Typical High $11.75 | Facility | None | $0.16 | $0.50 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $0.07 Median $0.35 Typical High $0.52 | Facility | None | $0.07 | $0.35 | $0.52 |
Cigna Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | None | $0.35 | $0.35 | $0.35 |
Emblem Health Setting Professional Modifier None Typical Low $0.50 Median $0.50 Typical High $0.59 | Professional | None | $0.50 | $0.50 | $0.59 |
Horizon BCBS Setting Facility Modifier None Typical Low $8,128.31 Median $15,848.93 Typical High $27,542.29 | Facility | None | $8,128.31 | $15,848.93 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | None | $0.51 | $0.51 | $0.51 |
United Setting Professional Modifier None Typical Low $0.34 Median $0.34 Typical High $0.36 | Professional | None | $0.34 | $0.34 | $0.36 |
Where New Jersey sits
The same service costs 1.6 times more in Montana than in Michigan. 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· 30th of 51
$0.35
MT $0.52MI $0.33
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.