How much rates vary
Facilitymedian $10 · 10th to 90th $4 to $10Professionalmedian $4 · 10th to 90th $2 to $10
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 $3.98 Median $10.47 Typical High $10.47 | Facility | None | $3.98 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $10.47 Typical High $10.47 | Professional | None | $3.72 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $1.86 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $2.09 Typical High $2.09 | Professional | 53 · Discontinued | $0.76 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.82 Median $7.76 Typical High $7.76 | Professional | 54 · Surgery only | $2.82 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $1.55 Typical High $1.55 | Professional | 55 · Aftercare only | $0.56 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $1.05 Typical High $1.05 | Professional | 56 · Pre-op care only | $0.38 | $1.05 | $1.05 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Emblem Health Setting Professional Modifier None Typical Low $5.37 Median $7.24 Typical High $7.24 | Professional | None | $5.37 | $7.24 | $7.24 |
Horizon BCBS Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.55 | Professional | None | $3.47 | $3.47 | $3.55 |
United Setting Professional Modifier None Typical Low $2.34 Median $2.88 Typical High $3.39 | Professional | None | $2.34 | $2.88 | $3.39 |
Where New Jersey sits
The same service costs 3.8 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
$3.55
RI $8.32NY $2.19
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.