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 $239.88 Median $3,467.37 Typical High $10,232.93 | Facility | None | $239.88 | $3,467.37 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $1,071.52 Typical High $1,584.89 | Professional | None | $229.09 | $1,071.52 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $457.09 Typical High $676.08 | Professional | 52 · Reduced service | $114.82 | $457.09 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $181.97 Typical High $269.15 | Professional | 53 · Discontinued | $46.77 | $181.97 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $691.83 Typical High $1,000.00 | Professional | 54 · Surgery only | $173.78 | $691.83 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $138.04 Typical High $199.53 | Professional | 55 · Aftercare only | $34.67 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $91.20 Typical High $134.90 | Professional | 56 · Pre-op care only | $22.91 | $91.20 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $630.96 Typical High $1,995.26 | Professional | None | $234.42 | $630.96 | $1,995.26 |
Emblem Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,862.09 | $2,570.40 | $2,570.40 |
Horizon BCBS Setting Professional Modifier None Typical Low $229.09 Median $1,445.44 Typical High $2,454.71 | Professional | None | $229.09 | $1,445.44 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $3,311.31 Typical High $5,888.44 | Facility | None | $1,148.15 | $3,311.31 | $5,888.44 |
United Setting Professional Modifier None Typical Low $223.87 Median $1,096.48 Typical High $2,089.30 | Professional | None | $223.87 | $1,096.48 | $2,089.30 |
Where New Jersey sits
The same service costs 6.5 times more in Washington 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· 25th of 51
$1,202
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.