How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $31.62 Median $36.31 Typical High $44.67 | Facility | None | $31.62 | $36.31 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $44.67 | Professional | None | $31.62 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $19.05 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.59 | $8.91 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $39.81 | Professional | None | $25.12 | $33.88 | $39.81 |
AmeriHealth Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $70.79 | Professional | None | $28.84 | $35.48 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $42.66 | Professional | None | $30.20 | $38.90 | $42.66 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Horizon BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,380.38 Typical High $1,905.46 | Facility | None | $912.01 | $1,380.38 | $1,905.46 |
Horizon BCBS Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $60.26 | Professional | None | $34.67 | $47.86 | $60.26 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,862.09 | Facility | None | $851.14 | $851.14 | $1,862.09 |
United Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $57.54 | Professional | None | $30.20 | $36.31 | $57.54 |
3 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 Professional Modifier AF · Specialist physician Typical Low $40.74 Median $44.67 Typical High $58.88 | Professional | AF · Specialist physician | $40.74 | $44.67 | $58.88 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $33.88 Typical High $44.67 | Professional | HO · Master's level | $30.20 | $33.88 | $44.67 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $34.67 Median $38.02 Typical High $50.12 | Professional | TD · Registered nurse | $34.67 | $38.02 | $50.12 |
Where New Jersey sits
The same service costs 2.1 times more in North Dakota 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· 24th of 51
$38.02
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.