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 $25.12 Median $38.02 Typical High $38.02 | Facility | None | $25.12 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $38.02 Typical High $38.02 | Professional | None | $25.12 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $12.59 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $5.01 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $3.80 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.80 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.51 | $3.80 | $3.80 |
AmeriHealth Setting Professional Modifier None Typical Low $26.92 Median $66.07 Typical High $89.13 | Professional | None | $26.92 | $66.07 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $131.83 | Facility | None | $46.77 | $56.23 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $69.18 | Professional | None | $28.18 | $28.84 | $69.18 |
Emblem Health Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $46.77 | Professional | None | $37.15 | $42.66 | $46.77 |
Horizon BCBS Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $616.60 | Facility | None | $295.12 | $446.68 | $616.60 |
Horizon BCBS Setting Professional Modifier None Typical Low $26.92 Median $28.84 Typical High $39.81 | Professional | None | $26.92 | $28.84 | $39.81 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
United Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $50.12 | Professional | None | $21.88 | $28.18 | $50.12 |
Where New Jersey sits
The same service costs 2.5 times more in Minnesota than in Arkansas. 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· 46th of 51
$28.84
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.