How much rates vary
Facilitymedian $9 · 10th to 90th $4 to $9Professionalmedian $4 · 10th to 90th $2 to $9
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 $4.17 Median $8.71 Typical High $8.71 | Facility | None | $4.17 | $8.71 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $8.71 Typical High $8.71 | Professional | None | $3.98 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.00 Median $4.37 Typical High $4.37 | Professional | 52 · Reduced service | $2.00 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $1.74 Typical High $1.74 | Professional | 53 · Discontinued | $0.79 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.95 Median $6.61 Typical High $6.61 | Professional | 54 · Surgery only | $2.95 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.60 Median $1.32 Typical High $1.32 | Professional | 55 · Aftercare only | $0.60 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.87 Typical High $0.87 | Professional | 56 · Pre-op care only | $0.40 | $0.87 | $0.87 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
Emblem Health Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $7.59 | Professional | None | $5.62 | $7.59 | $7.59 |
Horizon BCBS Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.80 | Professional | None | $3.72 | $3.72 | $3.80 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.02 Typical High $3.63 | Professional | None | $2.45 | $3.02 | $3.63 |
Where New Jersey sits
The same service costs 3.0 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· 27th of 51
$3.72
RI $6.76NY $2.29
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.