How much rates vary
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 $295.12 Median $4,570.88 Typical High $10,000.00 | Facility | None | $295.12 | $4,570.88 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $1,000.00 Typical High $1,380.38 | Professional | None | $288.40 | $1,000.00 | $1,380.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $426.58 Typical High $691.83 | Professional | 52 · Reduced service | $147.91 | $426.58 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $169.82 Typical High $281.84 | Professional | 53 · Discontinued | $58.88 | $169.82 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $630.96 Typical High $1,047.13 | Professional | 54 · Surgery only | $218.78 | $630.96 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $125.89 Typical High $208.93 | Professional | 55 · Aftercare only | $44.67 | $125.89 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $85.11 Typical High $138.04 | Professional | 56 · Pre-op care only | $29.51 | $85.11 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $724.44 Typical High $1,778.28 | Professional | None | $257.04 | $724.44 | $1,778.28 |
Emblem Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,778.28 | $1,862.09 |
Horizon BCBS Setting Professional Modifier None Typical Low $257.04 Median $1,230.27 Typical High $2,238.72 | Professional | None | $257.04 | $1,230.27 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $3,548.13 Typical High $6,456.54 | Facility | None | $1,148.15 | $3,548.13 | $6,456.54 |
United Setting Professional Modifier None Typical Low $245.47 Median $851.14 Typical High $1,819.70 | Professional | None | $245.47 | $851.14 | $1,819.70 |
Where New Jersey sits
The same service costs 3.5 times more in Wisconsin than in Maryland. 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· 24th of 51
$1,000
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.