How much rates vary
Facilitymedian $162 · 10th to 90th $107 to $162Professionalmedian $95 · 10th to 90th $62 to $162
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 $107.15 Median $162.18 Typical High $162.18 | Facility | None | $107.15 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $162.18 | Professional | None | $102.33 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $51.29 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $20.42 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $123.03 Typical High $123.03 | Professional | 54 · Surgery only | $77.62 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $15.49 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.23 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Emblem Health Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $199.53 | Professional | None | $147.91 | $194.98 | $199.53 |
Horizon BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | None | $95.50 | $95.50 | $97.72 |
United Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $93.33 | Professional | None | $63.10 | $77.62 | $93.33 |
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· 26th of 51
$95.50
HI $162NY $58.88
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.