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 $35.48 Median $35.48 Typical High $40.74 | Facility | None | $35.48 | $35.48 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | None | $35.48 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $22.91 | Professional | 52 · Reduced service | $17.38 | $17.38 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $9.12 | Professional | 53 · Discontinued | $7.08 | $7.08 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $6.92 | Professional | 55 · Aftercare only | $5.25 | $5.25 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.55 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.55 | $3.55 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $104.71 | Facility | None | $64.57 | $64.57 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | None | $46.77 | $46.77 | $64.57 |
Emblem Health Setting Professional Modifier None Typical Low $69.18 Median $138.04 Typical High $138.04 | Professional | None | $69.18 | $138.04 | $138.04 |
Horizon BCBS Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
United Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $120.23 | Facility | None | $50.12 | $60.26 | $120.23 |
United Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $100.00 | Professional | None | $43.65 | $54.95 | $100.00 |
Where New Jersey sits
The same service costs 2.8 times more in Wisconsin 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· 47th of 51
$51.29
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.