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 $75.86 Median $75.86 Typical High $87.10 | Facility | None | $75.86 | $75.86 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | None | $75.86 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $15.14 | $15.14 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $14.45 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $223.87 | Facility | None | $109.65 | $109.65 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | None | $81.28 | $81.28 | $109.65 |
Emblem Health Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $295.12 | Professional | None | $147.91 | $295.12 | $295.12 |
Horizon BCBS Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
United Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $204.17 | Facility | None | $89.13 | $107.15 | $204.17 |
United Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $213.80 | Professional | None | $83.18 | $117.49 | $213.80 |
Where New Jersey sits
The same service costs 3.0 times more in Montana 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· 28th of 51
$110
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.