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 $5.62 Median $5.75 Typical High $5.75 | Facility | None | $5.62 | $5.75 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $5.75 Typical High $5.75 | Professional | None | $4.57 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | 52 · Reduced service | $2.29 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $1.15 Typical High $1.15 | Professional | 53 · Discontinued | $0.91 | $1.15 | $1.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.87 Typical High $0.87 | Professional | 55 · Aftercare only | $0.68 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.58 Typical High $0.58 | Professional | 56 · Pre-op care only | $0.45 | $0.58 | $0.58 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $9.33 | Professional | None | $6.76 | $6.76 | $9.33 |
Emblem Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | None | $93.33 | $93.33 | $107.15 |
Horizon BCBS Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $17.78 | Professional | None | $12.02 | $12.02 | $17.78 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.08 Typical High $11.75 | Professional | None | $5.25 | $7.08 | $11.75 |
Where New Jersey sits
The same service costs 39.8 times more in New York than in Hawaii. 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
$6.76
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.