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 $28.84 Median $28.84 Typical High $30.20 | Facility | None | $28.84 | $28.84 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | None | $28.84 | $28.84 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $19.05 | Professional | 52 · Reduced service | $14.45 | $14.45 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $7.76 | Professional | 53 · Discontinued | $5.75 | $5.75 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $5.75 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $79.43 | Facility | None | $48.98 | $48.98 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $48.98 | Professional | None | $35.48 | $35.48 | $48.98 |
Emblem Health Setting Professional Modifier None Typical Low $51.29 Median $104.71 Typical High $104.71 | Professional | None | $51.29 | $104.71 | $104.71 |
Horizon BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
United Setting Facility Modifier None Typical Low $19.95 Median $39.81 Typical High $89.13 | Facility | None | $19.95 | $39.81 | $89.13 |
United Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $75.86 | Professional | None | $36.31 | $44.67 | $75.86 |
Where New Jersey sits
The same service costs 2.8 times more in Montana than in New Jersey. 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· 51st of 51
$38.90
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.