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 $34.67 Median $40.74 Typical High $40.74 | Facility | None | $34.67 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $40.74 | Professional | None | $28.84 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $16.60 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.61 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | 54 · Surgery only | $24.55 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $5.01 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.31 | $4.07 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Emblem Health Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $64.57 | Professional | None | $46.77 | $63.10 | $64.57 |
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 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· 24th of 51
$30.90
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.