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 $3.02 Median $3.02 Typical High $8.91 | Facility | None | $3.02 | $3.02 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $8.91 Typical High $20.89 | Professional | None | $3.02 | $8.91 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $4.47 Typical High $4.47 | Professional | 52 · Reduced service | $1.51 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $0.60 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.45 Median $1.35 Typical High $1.35 | Professional | 55 · Aftercare only | $0.45 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.89 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.30 | $0.89 | $0.89 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $19.05 Typical High $28.18 | Professional | None | $10.23 | $19.05 | $28.18 |
Horizon BCBS Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $407.38 | Facility | None | $162.18 | $263.03 | $407.38 |
Horizon BCBS Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $302.00 | Facility | None | $138.04 | $138.04 | $302.00 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $24.55 | Professional | None | $12.59 | $16.60 | $24.55 |
Where New Jersey sits
The same service costs 5.2 times more in Texas than in Kentucky. 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· 34th of 51
$16.98
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.