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 $93.33 Median $100.00 Typical High $100.00 | Facility | None | $93.33 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $100.00 | Professional | None | $77.62 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $38.90 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $15.49 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $14.79 Typical High $15.14 | Professional | 55 · Aftercare only | $11.75 | $14.79 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.76 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $977.24 | Facility | None | $812.83 | $812.83 | $977.24 |
Horizon BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $1,621.81 | Facility | None | $758.58 | $1,258.93 | $1,621.81 |
Horizon BCBS Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $173.78 | Professional | None | $81.28 | $95.50 | $173.78 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $1,445.44 | Facility | None | $660.69 | $660.69 | $1,445.44 |
United Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $158.49 | Professional | None | $67.61 | $83.18 | $158.49 |
Where New Jersey sits
The same service costs 5.0 times more in Alaska than in Pennsylvania. 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· 28th of 51
$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.