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 $41.69 Median $48.98 Typical High $63.10 | Facility | None | $41.69 | $48.98 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $57.54 | Professional | None | $41.69 | $48.98 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $117.49 | Professional | None | $46.77 | $51.29 | $117.49 |
Emblem Health Setting Professional Modifier None Typical Low $47.86 Median $102.33 Typical High $114.82 | Professional | None | $47.86 | $102.33 | $114.82 |
Horizon BCBS Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $131.83 | Professional | None | $72.44 | $74.13 | $131.83 |
United Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $70.79 | Professional | None | $51.29 | $52.48 | $70.79 |
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 $56.23 Median $60.26 Typical High $89.13 | Facility | AF · Specialist physician | $56.23 | $60.26 | $89.13 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $41.69 Median $44.67 Typical High $66.07 | Facility | HO · Master's level | $41.69 | $44.67 | $66.07 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $47.86 Median $50.12 Typical High $75.86 | Facility | TD · Registered nurse | $47.86 | $50.12 | $75.86 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $54.95 Median $57.54 Typical High $74.13 | Professional | AF · Specialist physician | $54.95 | $57.54 | $74.13 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $40.74 Median $43.65 Typical High $54.95 | Professional | HO · Master's level | $40.74 | $43.65 | $54.95 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $45.71 Median $48.98 Typical High $63.10 | Professional | TD · Registered nurse | $45.71 | $48.98 | $63.10 |
Where New Jersey sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 49th of 51
$48.98
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.