How much rates vary
Facilitymedian $28 · 10th to 90th $26 to $120Professionalmedian $28 · 10th to 90th $25 to $28
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 $28.18 Median $28.18 Typical High $39.81 | Facility | None | $28.18 | $28.18 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | None | $28.18 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | 52 · Reduced service | $14.13 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.17 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.57 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $3.09 |
AmeriHealth Setting Facility Modifier None Typical Low $26.30 Median $30.20 Typical High $208.93 | Facility | None | $26.30 | $30.20 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $28.18 Typical High $40.74 | Facility | None | $22.91 | $28.18 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Horizon BCBS Setting Facility Modifier None Typical Low $22.91 Median $24.55 Typical High $181.97 | Facility | None | $22.91 | $24.55 | $181.97 |
Horizon BCBS Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | None | $24.55 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | None | $24.55 | $24.55 | $30.20 |
Where New Jersey sits
The same service costs 2.2 times more in Alaska than in Oklahoma. 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
$28.18
AK $48.98OK $22.39
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.