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 $3.80 Median $5.75 Typical High $14.13 | Facility | None | $3.80 | $5.75 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $2.00 Median $3.80 Typical High $6.61 | Professional | None | $2.00 | $3.80 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $7.08 Typical High $25.12 | Facility | None | $6.03 | $7.08 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $6.46 | Professional | None | $5.01 | $6.03 | $6.46 |
Horizon BCBS Setting Professional Modifier None Typical Low $6.61 Median $6.92 Typical High $6.92 | Professional | None | $6.61 | $6.92 | $6.92 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $5.50 Median $6.46 Typical High $9.33 | Professional | None | $5.50 | $6.46 | $9.33 |
1 more rate 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 RH · Ambulance R to H Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | RH · Ambulance R to H | $7.24 | $7.24 | $7.24 |
Where New Jersey sits
The same service costs 12.9 times more in Texas than in North Carolina. 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· 47th of 51
$5.75
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.