How much rates vary
Facilitymedian $174 · 10th to 90th $129 to $501Professionalmedian $126 · 10th to 90th $110 to $141
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 $97.72 Median $128.82 Typical High $138.04 | Facility | None | $97.72 | $128.82 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $128.82 | Professional | None | $97.72 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $47.86 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $14.45 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $9.77 | $12.88 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $194.98 | Professional | None | $102.33 | $151.36 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $190.55 | Facility | None | $109.65 | $173.78 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Emblem Health Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $537.03 | Facility | None | $138.04 | $218.78 | $537.03 |
Emblem Health Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $229.09 | Professional | None | $154.88 | $158.49 | $229.09 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $165.96 | Professional | None | $125.89 | $125.89 | $165.96 |
Where New York sits
The same service costs 2.3 times more in North Dakota than in North Carolina. 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 York· 13th of 51
$126
ND $224NC $95.50
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.