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 $75.86 Median $95.50 Typical High $123.03 | Facility | None | $75.86 | $95.50 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $123.03 | Professional | None | $75.86 | $95.50 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $131.83 | Professional | None | $60.26 | $77.62 | $131.83 |
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 $229.09 Median $371.54 Typical High $478.63 | Facility | None | $229.09 | $371.54 | $478.63 |
Horizon BCBS Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | None | $87.10 | $87.10 | $144.54 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $426.58 | Facility | None | $194.98 | $194.98 | $426.58 |
United Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $190.55 | Professional | None | $60.26 | $87.10 | $190.55 |
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 $97.72 Median $114.82 Typical High $165.96 | Facility | AF · Specialist physician | $97.72 | $114.82 | $165.96 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $70.79 Median $87.10 Typical High $123.03 | Facility | HO · Master's level | $70.79 | $87.10 | $123.03 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $79.43 Median $97.72 Typical High $141.25 | Facility | TD · Registered nurse | $79.43 | $97.72 | $141.25 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $95.50 Median $112.20 Typical High $128.82 | Professional | AF · Specialist physician | $95.50 | $112.20 | $128.82 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $70.79 Median $83.18 Typical High $100.00 | Professional | HO · Master's level | $70.79 | $83.18 | $100.00 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $79.43 Median $93.33 Typical High $114.82 | Professional | TD · Registered nurse | $79.43 | $93.33 | $114.82 |
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 2.3 times more in Hawaii than in Arizona. 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· 27th of 51
$91.20
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.