How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $194.98 Median $218.78 Typical High $891.25 | Facility | None | $194.98 | $218.78 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | None | $194.98 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $39.81 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $29.51 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $19.50 | $21.88 | $21.88 |
AmeriHealth Setting Facility Modifier None Typical Low $4,897.79 Median $14,125.38 Typical High $23,442.29 | Facility | None | $4,897.79 | $14,125.38 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Horizon BCBS Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $776.25 | Facility | None | $354.81 | $549.54 | $776.25 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $758.58 | Facility | None | $346.74 | $346.74 | $758.58 |
Where New Jersey sits
The same service costs 5.2 times more in Alaska than in Georgia. 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· 21st of 51
$195
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.