How much rates vary
Facilitymedian $65 · 10th to 90th $62 to $209Professionalmedian $63 · 10th to 90th $58 to $63
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 $63.10 Median $63.10 Typical High $117.49 | Facility | None | $63.10 | $63.10 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $6.31 |
AmeriHealth Setting Facility Modifier None Typical Low $61.66 Median $66.07 Typical High $407.38 | Facility | None | $61.66 | $66.07 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $67.61 Typical High $87.10 | Facility | None | $45.71 | $67.61 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | None | $63.10 | $63.10 | $72.44 |
Emblem Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None | $67.61 | $67.61 | $79.43 |
Horizon BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $562.34 | Facility | None | $57.54 | $57.54 | $562.34 |
Horizon BCBS Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | None | $58.88 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | None | $57.54 | $57.54 | $60.26 |
Where New Jersey sits
Rates are fairly even across states for this service. 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· 25th of 51
$63.10
AK $72.44NC $57.54
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.