How much rates vary
Facilitymedian $23 · 10th to 90th $14 to $41Professionalmedian $19 · 10th to 90th $14 to $27
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 $13.80 Median $13.80 Typical High $15.85 | Facility | None | $13.80 | $13.80 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $17.38 | Professional | None | $13.80 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $8.71 | Professional | 52 · Reduced service | $6.92 | $6.92 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.55 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.63 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.38 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.38 | $1.38 | $1.78 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $40.74 | Facility | None | $22.91 | $22.91 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $22.91 | Professional | None | $16.98 | $16.98 | $22.91 |
Emblem Health Setting Professional Modifier None Typical Low $26.92 Median $53.70 Typical High $53.70 | Professional | None | $26.92 | $53.70 | $53.70 |
Horizon BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $50.12 | Facility | None | $42.66 | $42.66 | $50.12 |
United Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $39.81 | Professional | None | $15.85 | $21.38 | $39.81 |
Where New Jersey sits
The same service costs 2.6 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· 42nd of 51
$19.95
MT $43.65DE $16.98
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.