How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $6.03 Median $6.61 Typical High $43.65 | Facility | None | $6.03 | $6.61 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.61 Typical High $26.92 | Professional | None | $6.03 | $6.61 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $3.31 Typical High $13.49 | Professional | 52 · Reduced service | $3.02 | $3.31 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.32 Typical High $5.37 | Professional | 53 · Discontinued | $1.23 | $1.32 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.91 Median $1.00 Typical High $4.07 | Professional | 55 · Aftercare only | $0.91 | $1.00 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.66 Typical High $2.69 | Professional | 56 · Pre-op care only | $0.62 | $0.66 | $2.69 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $30.20 | Professional | None | $19.05 | $22.91 | $30.20 |
Emblem Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | None | $21.38 | $21.38 | $25.12 |
Horizon BCBS Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $173.78 | Facility | None | $83.18 | $138.04 | $173.78 |
Horizon BCBS Setting Professional Modifier None Typical Low $5.37 Median $6.31 Typical High $20.42 | Professional | None | $5.37 | $6.31 | $20.42 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $158.49 | Facility | None | $72.44 | $72.44 | $158.49 |
United Setting Professional Modifier None Typical Low $5.50 Median $26.30 Typical High $26.30 | Professional | None | $5.50 | $26.30 | $26.30 |
Where New Jersey sits
The same service costs 11.7 times more in New York 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 Jersey· 47th of 51
$6.61
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.