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 $44.67 Median $51.29 Typical High $64.57 | Facility | None | $44.67 | $51.29 | $64.57 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $28.84 Median $31.62 Typical High $43.65 | Facility | 52 · Reduced service | $28.84 | $31.62 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $17.38 | Facility | 53 · Discontinued | $11.48 | $12.59 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $64.57 | Professional | None | $46.77 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $30.90 Typical High $32.36 | Professional | 52 · Reduced service | $28.84 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $12.88 | Professional | 53 · Discontinued | $11.48 | $12.59 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $51.29 | Professional | None | $38.90 | $45.71 | $51.29 |
AmeriHealth Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $46.77 | Professional | None | $40.74 | $40.74 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $100.00 | Professional | None | $43.65 | $52.48 | $100.00 |
Emblem Health Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Horizon BCBS Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $87.10 | Professional | None | $51.29 | $69.18 | $87.10 |
United Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $114.82 | Professional | None | $33.88 | $50.12 | $114.82 |
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 $57.54 Median $64.57 Typical High $97.72 | Facility | AF · Specialist physician | $57.54 | $64.57 | $97.72 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $43.65 Median $48.98 Typical High $74.13 | Facility | HO · Master's level | $43.65 | $48.98 | $74.13 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $48.98 Median $54.95 Typical High $83.18 | Facility | TD · Registered nurse | $48.98 | $54.95 | $83.18 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $57.54 Median $63.10 Typical High $79.43 | Professional | AF · Specialist physician | $57.54 | $63.10 | $79.43 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $43.65 Median $46.77 Typical High $60.26 | Professional | HO · Master's level | $43.65 | $46.77 | $60.26 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $48.98 Median $53.70 Typical High $67.61 | Professional | TD · Registered nurse | $48.98 | $53.70 | $67.61 |
Where New Jersey sits
The same service costs 2.6 times more in Alaska 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· 37th of 51
$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.