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 $21.38 Median $58.88 Typical High $467.74 | Facility | None | $21.38 | $58.88 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $58.88 Typical High $91.20 | Professional | None | $24.55 | $58.88 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $29.51 Typical High $45.71 | Professional | 52 · Reduced service | $12.88 | $29.51 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $11.75 Typical High $18.62 | Professional | 53 · Discontinued | $5.13 | $11.75 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $8.91 Typical High $13.80 | Professional | 55 · Aftercare only | $3.80 | $8.91 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $5.89 Typical High $9.12 | Professional | 56 · Pre-op care only | $2.51 | $5.89 | $9.12 |
AmeriHealth Setting Professional Modifier None Typical Low $107.15 Median $218.78 Typical High $269.15 | Professional | None | $107.15 | $218.78 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $190.55 | Facility | None | $158.49 | $158.49 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $87.10 Typical High $112.20 | Professional | None | $34.67 | $87.10 | $112.20 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $144.54 | Professional | None | $100.00 | $131.83 | $144.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $338.84 | Facility | None | $162.18 | $245.47 | $338.84 |
Horizon BCBS Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $147.91 | Professional | None | $97.72 | $104.71 | $147.91 |
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 $21.38 Median $56.23 Typical High $114.82 | Professional | None | $21.38 | $56.23 | $114.82 |
Where New Jersey sits
The same service costs 3.6 times more in North Carolina 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· 31st of 51
$77.62
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.