How much rates vary
Facilitymedian $138 · 10th to 90th $89 to $1,585Professionalmedian $112 · 10th to 90th $85 to $141
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 $85.11 Median $112.20 Typical High $354.81 | Facility | None | $85.11 | $112.20 | $354.81 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $52.48 Median $64.57 Typical High $95.50 | Facility | 52 · Reduced service | $52.48 | $64.57 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $26.30 Typical High $38.02 | Facility | 53 · Discontinued | $20.89 | $26.30 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $141.25 | Professional | None | $85.11 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $56.23 Typical High $70.79 | Professional | 52 · Reduced service | $52.48 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $28.18 | Professional | 53 · Discontinued | $20.89 | $22.91 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $123.03 | Professional | None | $74.13 | $120.23 | $123.03 |
AmeriHealth Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $213.80 | Professional | None | $107.15 | $107.15 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $144.54 | Professional | None | $100.00 | $134.90 | $144.54 |
Emblem Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Emblem Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Horizon BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,737.80 | Facility | None | $831.76 | $1,258.93 | $1,737.80 |
Horizon BCBS Setting Professional Modifier None Typical Low $112.20 Median $151.36 Typical High $186.21 | Professional | None | $112.20 | $151.36 | $186.21 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,548.82 | Facility | None | $724.44 | $724.44 | $1,548.82 |
United Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $194.98 | Professional | None | $81.28 | $138.04 | $194.98 |
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 $109.65 Median $134.90 Typical High $199.53 | Facility | AF · Specialist physician | $109.65 | $134.90 | $199.53 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $81.28 Median $100.00 Typical High $151.36 | Facility | HO · Master's level | $81.28 | $100.00 | $151.36 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $91.20 Median $114.82 Typical High $169.82 | Facility | TD · Registered nurse | $91.20 | $114.82 | $169.82 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $104.71 Median $131.83 Typical High $158.49 | Professional | AF · Specialist physician | $104.71 | $131.83 | $158.49 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $79.43 Median $97.72 Typical High $120.23 | Professional | HO · Master's level | $79.43 | $97.72 | $120.23 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $89.13 Median $112.20 Typical High $134.90 | Professional | TD · Registered nurse | $89.13 | $112.20 | $134.90 |
Where New Jersey sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 42nd of 51
$112
AK $224KY $95.50
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.