How much rates vary
Facilitymedian $115 · 10th to 90th $19 to $1,047Professionalmedian $65 · 10th to 90th $15 to $85
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 $18.62 Median $66.07 Typical High $75.86 | Facility | None | $18.62 | $66.07 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $51.29 Typical High $75.86 | Professional | None | $18.62 | $51.29 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $24.55 Typical High $38.02 | Professional | 52 · Reduced service | $9.33 | $24.55 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $10.00 Typical High $15.14 | Professional | 53 · Discontinued | $3.72 | $10.00 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $7.41 Typical High $11.22 | Professional | 55 · Aftercare only | $2.82 | $7.41 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $4.90 Typical High $7.59 | Professional | 56 · Pre-op care only | $1.86 | $4.90 | $7.59 |
AmeriHealth Setting Facility Modifier None Typical Low $46.77 Median $812.83 Typical High $1,513.56 | Facility | None | $46.77 | $812.83 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $165.96 | Facility | None | $138.04 | $138.04 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $67.61 Typical High $91.20 | Professional | None | $21.38 | $67.61 | $91.20 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $147.91 | Professional | None | $100.00 | $138.04 | $147.91 |
Horizon BCBS Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $275.42 | Facility | None | $131.83 | $218.78 | $275.42 |
Horizon BCBS Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $95.50 | Professional | None | $64.57 | $69.18 | $95.50 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $245.47 | Facility | None | $112.20 | $112.20 | $245.47 |
United Setting Professional Modifier None Typical Low $12.30 Median $47.86 Typical High $91.20 | Professional | None | $12.30 | $47.86 | $91.20 |
Where New Jersey sits
The same service costs 4.9 times more in Hawaii than in Washington, DC. 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· 14th of 51
$64.57
HI $91.20DC $18.62
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.