How much rates vary
Facilitymedian $36 · 10th to 90th $18 to $339Professionalmedian $39 · 10th to 90th $19 to $52
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 $18.20 Median $36.31 Typical High $47.86 | Facility | None | $18.20 | $36.31 | $47.86 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $12.30 Median $23.44 Typical High $30.20 | Facility | 52 · Reduced service | $12.30 | $23.44 | $30.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $9.33 Typical High $12.02 | Facility | 53 · Discontinued | $4.90 | $9.33 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $36.31 Typical High $52.48 | Professional | None | $19.50 | $36.31 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $16.98 Typical High $26.30 | Professional | 52 · Reduced service | $12.30 | $16.98 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.76 Typical High $10.47 | Professional | 53 · Discontinued | $4.90 | $6.76 | $10.47 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $40.74 Typical High $42.66 | Professional | None | $21.38 | $40.74 | $42.66 |
AmeriHealth Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $75.86 | Professional | None | $34.67 | $34.67 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $52.48 | Professional | None | $33.88 | $47.86 | $52.48 |
Emblem Health Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Emblem Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Horizon BCBS Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $616.60 | Facility | None | $295.12 | $446.68 | $616.60 |
Horizon BCBS Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $69.18 | Professional | None | $40.74 | $56.23 | $69.18 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
United Setting Professional Modifier None Typical Low $17.78 Median $44.67 Typical High $54.95 | Professional | None | $17.78 | $44.67 | $54.95 |
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 $25.12 Median $46.77 Typical High $70.79 | Facility | AF · Specialist physician | $25.12 | $46.77 | $70.79 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $18.62 Median $34.67 Typical High $53.70 | Facility | HO · Master's level | $18.62 | $34.67 | $53.70 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $21.38 Median $39.81 Typical High $60.26 | Facility | TD · Registered nurse | $21.38 | $39.81 | $60.26 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $24.55 Median $40.74 Typical High $56.23 | Professional | AF · Specialist physician | $24.55 | $40.74 | $56.23 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $18.20 Median $30.90 Typical High $41.69 | Professional | HO · Master's level | $18.20 | $30.90 | $41.69 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $20.89 Median $34.67 Typical High $47.86 | Professional | TD · Registered nurse | $20.89 | $34.67 | $47.86 |
Where New Jersey sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 32nd of 51
$38.90
HI $63.10DC $26.92
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.