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 $22.91 Median $162.18 Typical High $724.44 | Facility | None | $22.91 | $162.18 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $28.18 | Professional | None | $16.60 | $23.44 | $28.18 |
AmeriHealth Setting Facility Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $6,309.57 | Facility | None | $1,905.46 | $3,388.44 | $6,309.57 |
AmeriHealth Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $50.12 | Professional | None | $20.89 | $20.89 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $128.82 Typical High $147.91 | Facility | None | $107.15 | $128.82 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $44.67 | Professional | None | $14.45 | $17.38 | $44.67 |
Horizon BCBS Setting Facility Modifier None Typical Low $104.71 Median $158.49 Typical High $218.78 | Facility | None | $104.71 | $158.49 | $218.78 |
Horizon BCBS Setting Professional Modifier None Typical Low $16.22 Median $18.62 Typical High $41.69 | Professional | None | $16.22 | $18.62 | $41.69 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $194.98 | Facility | None | $89.13 | $89.13 | $194.98 |
United Setting Professional Modifier None Typical Low $13.80 Median $20.89 Typical High $38.02 | Professional | None | $13.80 | $20.89 | $38.02 |
2 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 59 · Distinct service Typical Low $95.50 Median $169.82 Typical High $758.58 | Facility | 59 · Distinct service | $95.50 | $169.82 | $758.58 |
Aetna Setting Facility Modifier XU · Unusual separate service Typical Low $89.13 Median $177.83 Typical High $707.95 | Facility | XU · Unusual separate service | $89.13 | $177.83 | $707.95 |
Where New Jersey sits
The same service costs 8.5 times more in Vermont than in Maryland. 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· 21st of 51
$30.90
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.