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 $102.33 Median $131.83 Typical High $154.88 | Facility | None | $102.33 | $131.83 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $162.18 | Professional | None | $107.15 | $131.83 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $158.49 | Professional | None | $95.50 | $120.23 | $158.49 |
AmeriHealth Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $251.19 | Professional | None | $107.15 | $223.87 | $251.19 |
Emblem Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Emblem Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | None | $72.44 | $72.44 | $89.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $831.76 | Facility | None | $398.11 | $602.56 | $831.76 |
Horizon BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $199.53 | Professional | None | $114.82 | $114.82 | $199.53 |
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 $112.20 Median $112.20 Typical High $147.91 | Professional | None | $112.20 | $112.20 | $147.91 |
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 $134.90 Median $154.88 Typical High $223.87 | Facility | AF · Specialist physician | $134.90 | $154.88 | $223.87 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $102.33 Median $114.82 Typical High $169.82 | Facility | HO · Master's level | $102.33 | $114.82 | $169.82 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $114.82 Median $131.83 Typical High $190.55 | Facility | TD · Registered nurse | $114.82 | $131.83 | $190.55 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $131.83 Median $144.54 Typical High $181.97 | Professional | AF · Specialist physician | $131.83 | $144.54 | $181.97 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $89.13 Median $107.15 Typical High $134.90 | Professional | HO · Master's level | $89.13 | $107.15 | $134.90 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $89.13 Median $123.03 Typical High $154.88 | Professional | TD · Registered nurse | $89.13 | $123.03 | $154.88 |
Emblem Health Setting Professional Modifier HG · Opioid treatment program Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | HG · Opioid treatment program | $54.95 | $54.95 | $64.57 |
Where New Jersey sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 33rd of 51
$123
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.