How much rates vary
Facilitymedian $74 · 10th to 90th $58 to $871Professionalmedian $66 · 10th to 90th $52 to $87
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 $57.54 Median $72.44 Typical High $239.88 | Facility | None | $57.54 | $72.44 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $87.10 | Professional | None | $57.54 | $69.18 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $93.33 | Professional | None | $54.95 | $67.61 | $93.33 |
AmeriHealth Setting Facility Modifier None Typical Low $70.79 Median $776.25 Typical High $2,754.23 | Facility | None | $70.79 | $776.25 | $2,754.23 |
AmeriHealth Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $81.28 | Professional | None | $52.48 | $52.48 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $75.86 | Professional | None | $36.31 | $52.48 | $75.86 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $54.95 | Facility | None | $34.67 | $44.67 | $54.95 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | None | $34.67 | $34.67 | $44.67 |
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 $67.61 Median $69.18 Typical High $89.13 | Professional | None | $67.61 | $69.18 | $89.13 |
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 $56.23 Median $58.88 Typical High $79.43 | Professional | None | $56.23 | $58.88 | $79.43 |
9 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 $72.44 Median $83.18 Typical High $120.23 | Facility | AF · Specialist physician | $72.44 | $83.18 | $120.23 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $53.70 Median $63.10 Typical High $89.13 | Facility | HO · Master's level | $53.70 | $63.10 | $89.13 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $60.26 Median $72.44 Typical High $102.33 | Facility | TD · Registered nurse | $60.26 | $72.44 | $102.33 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $54.95 Median $79.43 Typical High $93.33 | Professional | AF · Specialist physician | $54.95 | $79.43 | $93.33 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $53.70 Median $61.66 Typical High $74.13 | Professional | HO · Master's level | $53.70 | $61.66 | $74.13 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $60.26 Median $69.18 Typical High $83.18 | Professional | TD · Registered nurse | $60.26 | $69.18 | $83.18 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | HO · Master's level | $69.18 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | SA · Nurse practitioner | $70.79 | $70.79 | $70.79 |
Emblem Health Setting Professional Modifier HG · Opioid treatment program Typical Low $32.36 Median $44.67 Typical High $44.67 | Professional | HG · Opioid treatment program | $32.36 | $44.67 | $44.67 |
Where New Jersey sits
The same service costs 1.9 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· 23rd of 51
$66.07
ND $100KY $53.70
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.