How much rates vary
Facilitymedian $17 · 10th to 90th $17 to $120Professionalmedian $15 · 10th to 90th $10 to $34
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 $16.98 Median $16.98 Typical High $120.23 | Facility | None | $16.98 | $16.98 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $33.88 Typical High $33.88 | Professional | None | $15.14 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $8.13 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $3.24 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $25.70 Typical High $25.70 | Professional | 54 · Surgery only | $12.30 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $2.45 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $3.39 Typical High $3.39 | Professional | 56 · Pre-op care only | $1.62 | $3.39 | $3.39 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Emblem Health Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $31.62 | Professional | None | $23.44 | $30.90 | $31.62 |
Horizon BCBS Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.49 | Professional | None | $15.14 | $15.14 | $15.49 |
United Setting Professional Modifier None Typical Low $10.00 Median $12.30 Typical High $14.79 | Professional | None | $10.00 | $12.30 | $14.79 |
Where New Jersey sits
The same service costs 2.9 times more in Rhode Island 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
$15.49
RI $26.92NY $9.33
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.