How much rates vary
Facilitymedian $23,988 · 10th to 90th $9,333 to $1,479,108Professionalmedian $489,779 · 10th to 90th $489,779 to $512,861
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 $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Professional | None | $512,861.38 | $512,861.38 | $512,861.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $257,039.58 Typical High $257,039.58 | Professional | 52 · Reduced service | $257,039.58 | $257,039.58 | $257,039.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $102,329.30 Typical High $102,329.30 | Professional | 53 · Discontinued | $102,329.30 | $102,329.30 | $102,329.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $75,857.76 Typical High $75,857.76 | Professional | 55 · Aftercare only | $75,857.76 | $75,857.76 | $75,857.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $51,286.14 Typical High $51,286.14 | Professional | 56 · Pre-op care only | $51,286.14 | $51,286.14 | $51,286.14 |
Emblem Health Setting Professional Modifier None Typical Low $416,869.38 Median $489,778.82 Typical High $630,957.34 | Professional | None | $416,869.38 | $489,778.82 | $630,957.34 |
Horizon BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $19,952.62 Typical High $1,659,586.91 | Facility | None | $8,709.64 | $19,952.62 | $1,659,586.91 |
Horizon BCBS Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $489,778.82 | Professional | None | $489,778.82 | $489,778.82 | $489,778.82 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $537,031.80 Typical High $549,540.87 | Professional | None | $489,778.82 | $537,031.80 | $549,540.87 |
Where New Jersey sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 51st of 51
$489,779
TX $1,000,000NJ $489,779
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.