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 $6,309.57 Median $6,309.57 Typical High $6,606.93 | Facility | None | $6,309.57 | $6,309.57 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $7,943.28 | Professional | None | $6,309.57 | $6,309.57 | $7,943.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,090.30 Median $3,090.30 Typical High $3,981.07 | Professional | 52 · Reduced service | $3,090.30 | $3,090.30 | $3,981.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,258.93 Median $1,258.93 Typical High $1,584.89 | Professional | 53 · Discontinued | $1,258.93 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $933.25 Median $933.25 Typical High $1,202.26 | Professional | 55 · Aftercare only | $933.25 | $933.25 | $1,202.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $630.96 Median $630.96 Typical High $794.33 | Professional | 56 · Pre-op care only | $630.96 | $630.96 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $17,378.01 | Facility | None | $11,748.98 | $11,748.98 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $11,748.98 | Professional | None | $8,511.38 | $8,511.38 | $11,748.98 |
Emblem Health Setting Professional Modifier None Typical Low $11,220.18 Median $22,908.68 Typical High $22,908.68 | Professional | None | $11,220.18 | $22,908.68 | $22,908.68 |
Horizon BCBS Setting Professional Modifier None Typical Low $17,378.01 Median $17,378.01 Typical High $17,378.01 | Professional | None | $17,378.01 | $17,378.01 | $17,378.01 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $8,912.51 Typical High $19,498.45 | Facility | None | $7,585.78 | $8,912.51 | $19,498.45 |
United Setting Professional Modifier None Typical Low $7,762.47 Median $9,772.37 Typical High $16,595.87 | Professional | None | $7,762.47 | $9,772.37 | $16,595.87 |
Where New Jersey sits
The same service costs 2.6 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
$8,511
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.