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 $125.89 Median $151.36 Typical High $204.17 | Facility | None | $125.89 | $151.36 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $204.17 | Professional | None | $125.89 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $85.11 Typical High $102.33 | Professional | 52 · Reduced service | $70.79 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $25.70 Typical High $30.20 | Professional | 55 · Aftercare only | $21.38 | $25.70 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $16.98 Typical High $20.42 | Professional | 56 · Pre-op care only | $14.13 | $16.98 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $288.40 | Professional | None | $173.78 | $213.80 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $331.13 | Professional | None | $147.91 | $194.98 | $331.13 |
Emblem Health Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $316.23 | Professional | None | $95.50 | $147.91 | $316.23 |
Horizon BCBS Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $363.08 | Professional | None | $223.87 | $223.87 | $363.08 |
United Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $223.87 | Professional | None | $131.83 | $162.18 | $223.87 |
Where New Jersey sits
The same service costs 2.4 times more in Alaska than in Alabama. 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· 50th of 51
$166
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.