How much rates vary
Facilitymedian $16 · 10th to 90th $12 to $16Professionalmedian $11 · 10th to 90th $7 to $16
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 $12.30 Median $16.22 Typical High $16.22 | Facility | None | $12.30 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $16.22 | Professional | None | $11.75 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $5.89 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $2.34 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.71 Median $12.30 Typical High $12.30 | Professional | 54 · Surgery only | $8.71 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $2.45 Typical High $2.45 | Professional | 55 · Aftercare only | $1.78 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.62 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.17 | $1.62 | $1.62 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Emblem Health Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $22.91 | Professional | None | $16.60 | $22.39 | $22.91 |
Horizon BCBS Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $11.22 | Professional | None | $10.96 | $10.96 | $11.22 |
United Setting Professional Modifier None Typical Low $7.24 Median $8.91 Typical High $10.72 | Professional | None | $7.24 | $8.91 | $10.72 |
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
$10.96
HI $18.62NY $6.76
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.