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 $302.00 Median $4,570.88 Typical High $10,000.00 | Facility | None | $302.00 | $4,570.88 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $1,174.90 Typical High $1,659.59 | Professional | None | $295.12 | $1,174.90 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $512.86 Typical High $831.76 | Professional | 52 · Reduced service | $144.54 | $512.86 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $204.17 Typical High $331.13 | Professional | 53 · Discontinued | $58.88 | $204.17 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $776.25 Typical High $1,230.27 | Professional | 54 · Surgery only | $218.78 | $776.25 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $154.88 Typical High $245.47 | Professional | 55 · Aftercare only | $43.65 | $154.88 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $102.33 Typical High $165.96 | Professional | 56 · Pre-op care only | $29.51 | $102.33 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $707.95 Typical High $2,137.96 | Professional | None | $245.47 | $707.95 | $2,137.96 |
Emblem Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,479.11 | $2,041.74 | $2,041.74 |
Horizon BCBS Setting Facility Modifier None Typical Low $7,079.46 Median $10,715.19 Typical High $14,791.08 | Facility | None | $7,079.46 | $10,715.19 | $14,791.08 |
Horizon BCBS Setting Professional Modifier None Typical Low $245.47 Median $1,513.56 Typical High $2,691.53 | Professional | None | $245.47 | $1,513.56 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $7,244.36 Typical High $15,135.61 | Facility | None | $2,951.21 | $7,244.36 | $15,135.61 |
United Setting Professional Modifier None Typical Low $229.09 Median $1,071.52 Typical High $2,187.76 | Professional | None | $229.09 | $1,071.52 | $2,187.76 |
Where New Jersey sits
The same service costs 4.7 times more in Wisconsin than in Nebraska. 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· 26th of 51
$1,259
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.