How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $5Professionalmedian $4 · 10th to 90th $3 to $5
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 $3.55 Median $3.55 Typical High $5.13 | Facility | None | $3.55 | $3.55 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.63 | Professional | None | $3.55 | $3.55 | $3.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $1.78 Typical High $1.82 | Professional | 52 · Reduced service | $1.78 | $1.78 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.72 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.52 Typical High $0.54 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $0.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.36 Typical High $0.36 | Professional | 56 · Pre-op care only | $0.36 | $0.36 | $0.36 |
AmeriHealth Setting Facility Modifier None Typical Low $3.72 Median $3.89 Typical High $4.07 | Facility | None | $3.72 | $3.89 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $4.07 Typical High $7.76 | Facility | None | $3.55 | $4.07 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Horizon BCBS Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $5.13 | Facility | None | $3.39 | $3.39 | $5.13 |
Horizon BCBS Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
United Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.17 | Professional | None | $3.39 | $3.39 | $4.17 |
Where New Jersey sits
The same service costs 4.0 times more in Oklahoma than in Maryland. 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
$3.63
OK $13.49MD $3.39
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.