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 $61.66 Median $69.18 Typical High $69.18 | Facility | None | $61.66 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | None | $58.88 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $28.84 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $11.75 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | 54 · Surgery only | $43.65 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.23 Typical High $10.23 | Professional | 55 · Aftercare only | $8.71 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $5.89 | $6.92 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Emblem Health Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $112.20 | Professional | None | $85.11 | $112.20 | $112.20 |
Horizon BCBS Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $56.23 | Professional | None | $53.70 | $53.70 | $56.23 |
United Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $52.48 | Professional | None | $36.31 | $44.67 | $52.48 |
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· 27th of 51
$53.70
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.