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New Jersey rates for HCPCS 86161

Complement; functional activity, each component

Facilitymedian $28 · 10th–90th $12–$1200%10%10th90th$28Professionalmedian $11 · 10th–90th $8–$140%50%10th90th$11$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $23.99 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.72 / $14.13
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $117.49 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $26.92 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.96 / $33.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.03 / $13.49
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $9,772.37 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.96 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $12.02 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $17.38