How much rates vary
Facilitymedian $28 · 10th to 90th $12 to $28Professionalmedian $10 · 10th to 90th $7 to $28
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 $11.75 Median $27.54 Typical High $27.54 | Facility | None | $11.75 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $27.54 Typical High $27.54 | Professional | None | $11.22 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $5.62 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $2.24 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.51 Median $20.42 Typical High $20.42 | Professional | 54 · Surgery only | $8.51 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $1.70 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $2.75 Typical High $2.75 | Professional | 56 · Pre-op care only | $1.12 | $2.75 | $2.75 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Emblem Health Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $21.88 | Professional | None | $16.22 | $21.88 | $21.88 |
Horizon BCBS Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | None | $10.47 | $10.47 | $10.72 |
United Setting Professional Modifier None Typical Low $7.08 Median $8.71 Typical High $10.23 | Professional | None | $7.08 | $8.71 | $10.23 |
Where New Jersey sits
The same service costs 3.2 times more in Rhode Island 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· 28th of 51
$10.47
RI $21.38NY $6.61
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.