How much rates vary
Facilitymedian $117 · 10th to 90th $100 to $331Professionalmedian $117 · 10th to 90th $100 to $145
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 $100.00 Median $114.82 Typical High $144.54 | Facility | None | $100.00 | $114.82 | $144.54 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $63.10 Median $69.18 Typical High $97.72 | Facility | 52 · Reduced service | $63.10 | $69.18 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $39.81 | Facility | 53 · Discontinued | $25.12 | $27.54 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $144.54 | Professional | None | $102.33 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $63.10 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $28.84 | Professional | 53 · Discontinued | $25.12 | $27.54 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $104.71 Typical High $117.49 | Professional | None | $41.69 | $104.71 | $117.49 |
AmeriHealth Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | None | $83.18 | $83.18 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $234.42 | Professional | None | $97.72 | $112.20 | $234.42 |
Emblem Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $602.56 | Facility | None | $288.40 | $436.52 | $602.56 |
Horizon BCBS Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $194.98 | Professional | None | $114.82 | $154.88 | $194.98 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $537.03 | Facility | None | $245.47 | $245.47 | $537.03 |
United Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $131.83 | Professional | None | $97.72 | $100.00 | $131.83 |
6 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 $125.89 Median $144.54 Typical High $213.80 | Facility | AF · Specialist physician | $125.89 | $144.54 | $213.80 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $95.50 Median $109.65 Typical High $162.18 | Facility | HO · Master's level | $95.50 | $109.65 | $162.18 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $107.15 Median $123.03 Typical High $181.97 | Facility | TD · Registered nurse | $107.15 | $123.03 | $181.97 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $125.89 Median $138.04 Typical High $173.78 | Professional | AF · Specialist physician | $125.89 | $138.04 | $173.78 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $95.50 Median $102.33 Typical High $131.83 | Professional | HO · Master's level | $95.50 | $102.33 | $131.83 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $107.15 Median $117.49 Typical High $147.91 | Professional | TD · Registered nurse | $107.15 | $117.49 | $147.91 |
Where New Jersey sits
The same service costs 2.4 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· 40th of 51
$117
AK $245OH $102
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.