How much rates vary
Facilitymedian $93 · 10th to 90th $38 to $347Professionalmedian $34 · 10th to 90th $21 to $93
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 $38.02 Median $93.33 Typical High $346.74 | Facility | None | $38.02 | $93.33 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $93.33 Typical High $93.33 | Professional | None | $35.48 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $17.78 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $7.08 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $69.18 Typical High $69.18 | Professional | 54 · Surgery only | $26.92 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $5.37 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $3.55 | $9.33 | $9.33 |
AmeriHealth Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $109.65 | Professional | None | $42.66 | $56.23 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $69.18 | Professional | None | $52.48 | $69.18 | $69.18 |
Horizon BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | None | $33.11 | $33.11 | $33.88 |
United Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $32.36 | Professional | None | $22.39 | $27.54 | $32.36 |
Where New Jersey sits
The same service costs 2.6 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· 30th of 51
$33.88
HI $54.95NY $20.89
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.