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 $56.23 Median $56.23 Typical High $93.33 | Facility | None | $56.23 | $56.23 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $93.33 Typical High $93.33 | Professional | None | $56.23 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $28.18 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $11.22 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $8.51 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.62 | $9.33 | $9.33 |
AmeriHealth Setting Facility Modifier None Typical Low $213.80 Median $3,162.28 Typical High $5,623.41 | Facility | None | $213.80 | $3,162.28 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Horizon BCBS Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $309.03 | Facility | None | $141.25 | $239.88 | $309.03 |
Horizon BCBS Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $302.00 | Facility | None | $138.04 | $138.04 | $302.00 |
Where New Jersey sits
The same service costs 6.8 times more in North Carolina than in Kentucky. 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· 27th of 51
$93.33
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.