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 $14.45 Median $19.95 Typical High $19.95 | Facility | None | $14.45 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $19.95 Typical High $19.95 | Professional | None | $13.80 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $6.92 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $2.75 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.23 Median $15.14 Typical High $15.14 | Professional | 54 · Surgery only | $10.23 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $2.04 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.38 | $2.00 | $2.00 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Emblem Health Setting Professional Modifier None Typical Low $19.50 Median $26.30 Typical High $26.30 | Professional | None | $19.50 | $26.30 | $26.30 |
Horizon BCBS Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | None | $12.88 | $12.88 | $13.18 |
United Setting Professional Modifier None Typical Low $8.51 Median $10.47 Typical High $12.59 | Professional | None | $8.51 | $10.47 | $12.59 |
Where New Jersey sits
The same service costs 2.8 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· 25th of 51
$12.88
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.