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 $32.36 Median $48.98 Typical High $48.98 | Facility | None | $32.36 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $48.98 Typical High $48.98 | Professional | None | $30.90 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $15.14 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $6.17 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.91 Median $37.15 Typical High $37.15 | Professional | 54 · Surgery only | $22.91 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $7.41 Typical High $7.41 | Professional | 55 · Aftercare only | $4.57 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $4.90 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.09 | $4.90 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Emblem Health Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $58.88 | Professional | None | $43.65 | $58.88 | $58.88 |
Horizon BCBS Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | None | $28.18 | $28.18 | $29.51 |
United Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $27.54 | Professional | None | $19.05 | $23.44 | $27.54 |
Where New Jersey sits
The same service costs 2.7 times more in Hawaii than in New York. 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
$28.18
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.