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 $1.20 Median $1.20 Typical High $2.14 | Facility | None | $1.20 | $1.20 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $1.20 Median $2.14 Typical High $2.14 | Professional | None | $1.20 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.76 Median $1.07 Typical High $1.07 | Professional | 52 · Reduced service | $0.76 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.30 Median $0.43 Typical High $0.43 | Professional | 53 · Discontinued | $0.30 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.23 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.23 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.21 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.15 | $0.21 | $0.21 |
Aetna Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $1.29 Median $2.14 Typical High $2.14 | Professional | AU · Urologic/ostomy supply | $1.29 | $2.14 | $2.14 |
AmeriHealth Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $776.25 | Facility | None | $331.13 | $501.19 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Emblem Health Setting Professional Modifier None Typical Low $3.47 Median $5.89 Typical High $5.89 | Professional | None | $3.47 | $5.89 | $5.89 |
Emblem Health Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $3.63 Median $5.89 Typical High $5.89 | Professional | AU · Urologic/ostomy supply | $3.63 | $5.89 | $5.89 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $6,456.54 | Facility | None | $5,888.44 | $5,888.44 | $6,456.54 |
Horizon BCBS Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.34 Typical High $2.69 | Professional | None | $1.86 | $2.34 | $2.69 |
Where New Jersey sits
The same service costs 4.4 times more in Minnesota than in New Hampshire. 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· 34th of 51
$2.24
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.