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 $199.53 Median $6,918.31 Typical High $12,882.50 | Facility | None | $199.53 | $6,918.31 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $151.36 Typical High $257.04 | Professional | None | $91.20 | $151.36 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $74.13 Typical High $128.82 | Professional | 52 · Reduced service | $45.71 | $74.13 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $30.20 Typical High $52.48 | Professional | 53 · Discontinued | $18.20 | $30.20 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $112.20 Typical High $194.98 | Professional | 54 · Surgery only | $69.18 | $112.20 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $22.39 Typical High $38.90 | Professional | 55 · Aftercare only | $13.80 | $22.39 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $15.14 Typical High $25.70 | Professional | 56 · Pre-op care only | $9.12 | $15.14 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $229.09 Typical High $691.83 | Professional | None | $67.61 | $229.09 | $691.83 |
Emblem Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | None | $1,122.02 | $1,122.02 | $1,230.27 |
Horizon BCBS Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $1,096.48 | Professional | None | $512.86 | $602.56 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $3,981.07 Typical High $10,471.29 | Facility | None | $1,412.54 | $3,981.07 | $10,471.29 |
United Setting Professional Modifier None Typical Low $57.54 Median $186.21 Typical High $831.76 | Professional | None | $57.54 | $186.21 | $831.76 |
Where New Jersey sits
The same service costs 9.5 times more in Washington 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· 36th of 51
$200
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.