How much rates vary
Facilitymedian $78 · 10th to 90th $35 to $78Professionalmedian $31 · 10th to 90th $19 to $78
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 $34.67 Median $77.62 Typical High $77.62 | Facility | None | $34.67 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $77.62 Typical High $77.62 | Professional | None | $33.11 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $16.60 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $6.61 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $24.55 Median $57.54 Typical High $57.54 | Professional | 54 · Surgery only | $24.55 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $4.90 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $3.31 | $7.76 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Emblem Health Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $63.10 | Professional | None | $46.77 | $63.10 | $63.10 |
Horizon BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | None | $30.90 | $30.90 | $31.62 |
United Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $30.20 | Professional | None | $20.42 | $25.12 | $30.20 |
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· 25th of 51
$30.90
RI $60.26NY $19.05
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.