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 $1.82 Median $2.14 Typical High $2.40 | Facility | None | $1.82 | $2.14 | $2.40 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $2.04 Typical High $2.40 | Professional | None | $1.82 | $2.04 | $2.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.10 Median $1.20 Typical High $1.20 | Professional | 52 · Reduced service | $1.10 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.48 Typical High $0.48 | Professional | 53 · Discontinued | $0.44 | $0.48 | $0.48 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $5.01 Typical High $5.01 | Professional | None | $2.00 | $5.01 | $5.01 |
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 $85.11 Median $89.13 Typical High $89.13 | Professional | None | $85.11 | $89.13 | $89.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $64.57 Median $97.72 Typical High $134.90 | Facility | None | $64.57 | $97.72 | $134.90 |
Horizon BCBS Setting Professional Modifier None Typical Low $1.86 Median $2.57 Typical High $3.24 | Professional | None | $1.86 | $2.57 | $3.24 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $120.23 | Facility | None | $54.95 | $54.95 | $120.23 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.51 Typical High $3.24 | Professional | None | $1.78 | $2.51 | $3.24 |
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 $2.19 Median $2.40 Typical High $3.09 | Professional | AF · Specialist physician | $2.19 | $2.40 | $3.09 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $1.66 Median $1.82 Typical High $2.34 | Professional | HO · Master's level | $1.66 | $1.82 | $2.34 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $1.86 Median $2.04 Typical High $2.63 | Professional | TD · Registered nurse | $1.86 | $2.04 | $2.63 |
Where New Jersey sits
The same service costs 2.2 times more in North Dakota 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· 38th of 51
$2.04
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.