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 $26.30 Median $28.18 Typical High $29.51 | Facility | None | $26.30 | $28.18 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $29.51 | Professional | None | $26.30 | $28.18 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $13.18 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.62 Typical High $5.89 | Professional | 53 · Discontinued | $5.25 | $5.62 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.17 Typical High $4.47 | Professional | 55 · Aftercare only | $3.98 | $4.17 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.82 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.63 | $2.82 | $2.95 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $33.88 | Professional | None | $18.62 | $21.88 | $33.88 |
Emblem Health Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $54.95 | Facility | None | $36.31 | $36.31 | $54.95 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | None | $34.67 | $34.67 | $60.26 |
Horizon BCBS Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $39.81 | Professional | None | $22.39 | $22.39 | $39.81 |
United Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $48.98 | Professional | None | $15.85 | $22.39 | $48.98 |
Where New Jersey sits
The same service costs 2.8 times more in New York than in Georgia. 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
$28.18
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.