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 $24.55 Median $32.36 Typical High $32.36 | Facility | None | $24.55 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $32.36 | Professional | None | $23.44 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $11.75 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $4.68 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | 54 · Surgery only | $17.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $3.55 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $2.34 | $3.24 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Emblem Health Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $45.71 | Professional | None | $33.11 | $44.67 | $45.71 |
Horizon BCBS Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | None | $21.88 | $21.88 | $22.39 |
United Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $21.38 | Professional | None | $14.45 | $17.78 | $21.38 |
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· 25th of 51
$21.88
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.