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 $0.39 Median $0.39 Typical High $0.63 | Facility | None | $0.39 | $0.39 | $0.63 |
Aetna Setting Professional Modifier None Typical Low $0.38 Median $0.39 Typical High $0.39 | Professional | None | $0.38 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.19 Median $0.20 Typical High $0.20 | Professional | 52 · Reduced service | $0.19 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 53 · Discontinued | $0.08 | $0.08 | $0.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
Cigna Setting Facility Modifier None Typical Low $0.27 Median $0.32 Typical High $1.91 | Facility | None | $0.27 | $0.32 | $1.91 |
Cigna Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | None | $0.27 | $0.27 | $0.27 |
Horizon BCBS Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.34 | Facility | None | $1.74 | $1.74 | $2.34 |
Horizon BCBS Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
United Setting Professional Modifier None Typical Low $0.38 Median $0.38 Typical High $0.47 | Professional | None | $0.38 | $0.38 | $0.47 |
Where New Jersey sits
The same service costs 6.3 times more in Kansas than in Virginia. 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· 20th of 51
$0.39
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.