How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.60 Median $0.71 Typical High $1.23 | Facility | None | $0.60 | $0.71 | $1.23 |
Aetna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.65 | Professional | None | $0.60 | $0.60 | $0.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.30 Median $0.30 Typical High $0.33 | Professional | 52 · Reduced service | $0.30 | $0.30 | $0.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.12 Typical High $0.13 | Professional | 53 · Discontinued | $0.12 | $0.12 | $0.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.09 Typical High $0.10 | Professional | 55 · Aftercare only | $0.09 | $0.09 | $0.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.07 |
AmeriHealth Setting Facility Modifier None Typical Low $0.65 Median $0.68 Typical High $0.72 | Facility | None | $0.65 | $0.68 | $0.72 |
Cigna Setting Facility Modifier None Typical Low $0.60 Median $0.72 Typical High $1.05 | Facility | None | $0.60 | $0.72 | $1.05 |
Cigna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
Horizon BCBS Setting Facility Modifier None Typical Low $0.62 Median $0.81 Typical High $6.46 | Facility | None | $0.62 | $0.81 | $6.46 |
Horizon BCBS Setting Professional Modifier None Typical Low $0.65 Median $0.68 Typical High $0.68 | Professional | None | $0.65 | $0.68 | $0.68 |
United Setting Professional Modifier None Typical Low $0.62 Median $0.68 Typical High $0.76 | Professional | None | $0.62 | $0.68 | $0.76 |
Where New Jersey sits
The same service costs 3.4 times more in Wyoming than in Delaware. 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· 33rd of 51
$0.65
WY $2.04DE $0.60
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.