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 $1.00 Median $1.41 Typical High $1.41 | Facility | None | $1.00 | $1.41 | $1.41 |
Aetna Setting Professional Modifier None Typical Low $1.00 Median $1.41 Typical High $1.41 | Professional | None | $1.00 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.50 Median $0.71 Typical High $0.71 | Professional | 52 · Reduced service | $0.50 | $0.71 | $0.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.20 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.15 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.10 | $0.14 | $0.14 |
Ambetter Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.14 | Facility | None | $1.74 | $1.74 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.74 | Professional | None | $1.48 | $1.48 | $1.74 |
Emblem Health Setting Professional Modifier None Typical Low $1.91 Median $3.89 Typical High $3.89 | Professional | None | $1.91 | $3.89 | $3.89 |
Horizon BCBS Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
United Setting Professional Modifier None Typical Low $1.12 Median $1.55 Typical High $2.82 | Professional | None | $1.12 | $1.55 | $2.82 |
Where New Jersey sits
The same service costs 2.2 times more in Kansas 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· 48th of 51
$1.48
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.