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 $58.88 Median $64.57 Typical High $77.62 | Facility | None | $58.88 | $64.57 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $69.18 Typical High $91.20 | Professional | None | $36.31 | $69.18 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $34.67 Typical High $37.15 | Professional | 52 · Reduced service | $18.20 | $34.67 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $151.36 | Professional | None | $54.95 | $74.13 | $151.36 |
AmeriHealth Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $204.17 | Professional | None | $77.62 | $85.11 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $104.71 | Professional | None | $54.95 | $64.57 | $104.71 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $144.54 | Professional | None | $100.00 | $131.83 | $144.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $478.63 | Facility | None | $229.09 | $346.74 | $478.63 |
Horizon BCBS Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $144.54 | Professional | None | $93.33 | $93.33 | $144.54 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $426.58 | Facility | None | $194.98 | $194.98 | $426.58 |
United Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $85.11 | Professional | None | $47.86 | $66.07 | $85.11 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 25 · Same-day visit | $95.50 | $95.50 | $95.50 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | 33 · Preventive service | $83.18 | $95.50 | $95.50 |
Where New Jersey sits
The same service costs 2.8 times more in Alaska than in New York. 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· 48th of 51
$69.18
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.