How much rates vary
Facilitymedian $38 · 10th to 90th $17 to $38Professionalmedian $15 · 10th to 90th $10 to $38
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 $17.38 Median $38.02 Typical High $38.02 | Facility | None | $17.38 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $38.02 Typical High $38.02 | Professional | None | $16.60 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $8.13 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $3.31 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $28.84 Typical High $28.84 | Professional | 54 · Surgery only | $12.30 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $2.45 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $3.80 Typical High $3.80 | Professional | 56 · Pre-op care only | $1.62 | $3.80 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Emblem Health Setting Professional Modifier None Typical Low $23.44 Median $31.62 Typical High $31.62 | Professional | None | $23.44 | $31.62 | $31.62 |
Horizon BCBS Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.85 | Professional | None | $15.49 | $15.49 | $15.85 |
United Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $14.79 | Professional | None | $10.23 | $12.59 | $14.79 |
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
$15.49
RI $30.20NY $9.55
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.