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 $147.91 Median $181.97 Typical High $281.84 | Facility | None | $147.91 | $181.97 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $229.09 | Professional | None | $147.91 | $169.82 | $229.09 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $213.80 | Professional | None | $165.96 | $186.21 | $213.80 |
AmeriHealth Setting Facility Modifier None Typical Low $173.78 Median $1,318.26 Typical High $10,000.00 | Facility | None | $173.78 | $1,318.26 | $10,000.00 |
AmeriHealth Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $251.19 | Professional | None | $169.82 | $173.78 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $186.21 | Professional | None | $60.26 | $109.65 | $186.21 |
Emblem Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $144.54 | Facility | None | $100.00 | $100.00 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $144.54 | Professional | None | $100.00 | $100.00 | $144.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $363.08 Median $602.56 Typical High $831.76 | Facility | None | $363.08 | $602.56 | $831.76 |
Horizon BCBS Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $223.87 | Professional | None | $147.91 | $173.78 | $223.87 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $741.31 | Facility | None | $338.84 | $338.84 | $741.31 |
United Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $204.17 | Professional | None | $134.90 | $154.88 | $204.17 |
7 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 $186.21 Median $213.80 Typical High $309.03 | Facility | AF · Specialist physician | $186.21 | $213.80 | $309.03 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $141.25 Median $165.96 Typical High $234.42 | Facility | HO · Master's level | $141.25 | $165.96 | $234.42 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $158.49 Median $181.97 Typical High $263.03 | Facility | TD · Registered nurse | $158.49 | $181.97 | $263.03 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $125.89 Median $144.54 Typical High $229.09 | Professional | AF · Specialist physician | $125.89 | $144.54 | $229.09 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $138.04 Median $162.18 Typical High $190.55 | Professional | HO · Master's level | $138.04 | $162.18 | $190.55 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $70.79 Median $107.15 Typical High $194.98 | Professional | TD · Registered nurse | $70.79 | $107.15 | $194.98 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | SA · Nurse practitioner | $144.54 | $144.54 | $169.82 |
Where New Jersey sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 18th of 51
$170
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.