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 $870.96 Median $870.96 Typical High $912.01 | Facility | None | $870.96 | $870.96 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | None | $870.96 | $870.96 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $524.81 | Professional | 52 · Reduced service | $436.52 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $173.78 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $158.49 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $104.71 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,398.83 | Facility | None | $1,348.96 | $1,348.96 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
Emblem Health Setting Professional Modifier None Typical Low $1,548.82 Median $3,162.28 Typical High $3,162.28 | Professional | None | $1,548.82 | $3,162.28 | $3,162.28 |
Horizon BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,951.21 | Facility | None | $2,511.89 | $2,511.89 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $2,290.87 | Professional | None | $1,096.48 | $1,288.25 | $2,290.87 |
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· 48th of 51
$1,175
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.