How much rates vary
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 $53.70 Median $81.28 Typical High $81.28 | Facility | None | $53.70 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $81.28 | Professional | None | $51.29 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $25.70 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $10.23 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $61.66 Typical High $61.66 | Professional | 54 · Surgery only | $38.90 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $7.76 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $5.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $100.00 | Professional | None | $72.44 | $97.72 | $100.00 |
Horizon BCBS Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | None | $47.86 | $47.86 | $48.98 |
United Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $46.77 | Professional | None | $31.62 | $38.90 | $46.77 |
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
$47.86
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.