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 $81.28 Median $97.72 Typical High $114.82 | Facility | None | $81.28 | $97.72 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $114.82 | Professional | None | $85.11 | $97.72 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $91.20 | Professional | None | $83.18 | $85.11 | $91.20 |
AmeriHealth Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $2,951.21 | Facility | None | $125.89 | $407.38 | $2,951.21 |
AmeriHealth Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | None | $97.72 | $97.72 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $128.82 | Professional | None | $63.10 | $77.62 | $128.82 |
Emblem Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $104.71 | Facility | None | $72.44 | $72.44 | $104.71 |
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 $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 $112.20 Median $114.82 Typical High $144.54 | Professional | None | $112.20 | $114.82 | $144.54 |
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 $85.11 Median $95.50 Typical High $128.82 | Professional | None | $85.11 | $95.50 | $128.82 |
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 $107.15 Median $117.49 Typical High $177.83 | Facility | AF · Specialist physician | $107.15 | $117.49 | $177.83 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $81.28 Median $89.13 Typical High $134.90 | Facility | HO · Master's level | $81.28 | $89.13 | $134.90 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $91.20 Median $100.00 Typical High $151.36 | Facility | TD · Registered nurse | $91.20 | $100.00 | $151.36 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $89.13 Median $114.82 Typical High $131.83 | Professional | AF · Specialist physician | $89.13 | $114.82 | $131.83 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $81.28 Typical High $109.65 | Professional | HO · Master's level | $60.26 | $81.28 | $109.65 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $60.26 Median $91.20 Typical High $123.03 | Professional | TD · Registered nurse | $60.26 | $91.20 | $123.03 |
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 Alaska 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· 22nd of 51
$97.72
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.