How much rates vary
Facilitymedian $17 · 10th to 90th $6 to $17Professionalmedian $6 · 10th to 90th $3 to $17
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 $6.17 Median $17.38 Typical High $17.38 | Facility | None | $6.17 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $17.38 Typical High $17.38 | Professional | None | $5.89 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $2.95 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $1.17 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.37 Median $13.18 Typical High $13.18 | Professional | 54 · Surgery only | $4.37 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.87 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $0.87 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.59 Median $1.74 Typical High $1.74 | Professional | 56 · Pre-op care only | $0.59 | $1.74 | $1.74 |
AmeriHealth Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Emblem Health Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $11.22 | Professional | None | $8.32 | $11.22 | $11.22 |
Horizon BCBS Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.62 | Professional | None | $5.50 | $5.50 | $5.62 |
United Setting Professional Modifier None Typical Low $3.63 Median $4.47 Typical High $5.37 | Professional | None | $3.63 | $4.47 | $5.37 |
Where New Jersey sits
The same service costs 4.1 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
$5.62
RI $13.80NY $3.39
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.