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 $0.24 Median $0.24 Typical High $0.39 | Facility | None | $0.24 | $0.24 | $0.39 |
Aetna Setting Professional Modifier None Typical Low $0.23 Median $0.24 Typical High $0.24 | Professional | None | $0.23 | $0.24 | $0.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 52 · Reduced service | $0.12 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 53 · Discontinued | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 55 · Aftercare only | $0.03 | $0.04 | $0.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
Cigna Setting Facility Modifier None Typical Low $0.24 Median $0.28 Typical High $0.46 | Facility | None | $0.24 | $0.28 | $0.46 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Horizon BCBS Setting Professional Modifier None Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | None | $0.30 | $0.30 | $0.30 |
United Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.39 | Professional | None | $0.35 | $0.35 | $0.39 |
Where New Jersey sits
The same service costs 4.4 times more in Kansas than in Utah. 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· 32nd of 51
$0.28
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.