How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $11.22 Median $13.80 Typical High $17.38 | Facility | None | $11.22 | $13.80 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $17.38 | Professional | None | $11.48 | $13.80 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $10.23 Typical High $16.60 | Professional | None | $9.55 | $10.23 | $16.60 |
AmeriHealth Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $15.14 | Professional | None | $9.77 | $9.77 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $4.57 Typical High $12.88 | Professional | None | $3.02 | $4.57 | $12.88 |
Emblem Health Setting Professional Modifier None Typical Low $13.80 Median $21.88 Typical High $23.99 | Professional | None | $13.80 | $21.88 | $23.99 |
Horizon BCBS Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $19.95 | Professional | None | $12.02 | $12.30 | $19.95 |
United Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $15.49 | Professional | None | $10.47 | $11.75 | $15.49 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $14.13 Median $16.60 Typical High $23.99 | Facility | AF · Specialist physician | $14.13 | $16.60 | $23.99 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $10.72 Median $12.59 Typical High $17.78 | Facility | HO · Master's level | $10.72 | $12.59 | $17.78 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $12.02 Median $14.13 Typical High $20.42 | Facility | TD · Registered nurse | $12.02 | $14.13 | $20.42 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $4.90 Median $15.85 Typical High $19.05 | Professional | AF · Specialist physician | $4.90 | $15.85 | $19.05 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $3.72 Median $11.75 Typical High $14.13 | Professional | HO · Master's level | $3.72 | $11.75 | $14.13 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $4.17 Median $13.49 Typical High $16.22 | Professional | TD · Registered nurse | $4.17 | $13.49 | $16.22 |
Where New Jersey sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 20th of 51
$12.88
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.