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 $691.83 Median $691.83 Typical High $741.31 | Facility | None | $691.83 | $691.83 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $870.96 | Professional | None | $691.83 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $436.52 | Professional | 52 · Reduced service | $346.74 | $346.74 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $173.78 | Professional | 53 · Discontinued | $138.04 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Facility | None | $1,584.89 | $1,584.89 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,148.15 | $1,584.89 |
Emblem Health Setting Professional Modifier None Typical Low $1,258.93 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,258.93 | $2,511.89 | $2,511.89 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,071.52 Typical High $2,187.76 | Facility | None | $794.33 | $1,071.52 | $2,187.76 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,862.09 | Professional | None | $870.96 | $1,071.52 | $1,862.09 |
Where New Jersey sits
The same service costs 2.3 times more in Wisconsin than in Washington, DC. 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· 38th of 51
$1,148
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.