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 $2.88 Median $4.07 Typical High $4.07 | Facility | None | $2.88 | $4.07 | $4.07 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $4.07 Typical High $4.07 | Professional | None | $2.88 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $1.45 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.56 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.62 Typical High $0.62 | Professional | 55 · Aftercare only | $0.43 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.40 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.28 | $0.40 | $0.40 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
Emblem Health Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $10.96 | Professional | None | $8.32 | $10.96 | $10.96 |
Horizon BCBS Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $3.72 Median $4.47 Typical High $5.25 | Professional | None | $3.72 | $4.47 | $5.25 |
Where New Jersey sits
The same service costs 2.6 times more in Hawaii than in Utah. 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
$4.27
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.