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 $23.99 Median $25.12 Typical High $27.54 | Facility | None | $23.99 | $25.12 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $27.54 | Professional | None | $21.88 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $12.02 Typical High $13.80 | Professional | 52 · Reduced service | $10.96 | $12.02 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | None | $33.11 | $38.90 | $38.90 |
AmeriHealth Setting Professional Modifier None Typical Low $22.91 Median $36.31 Typical High $69.18 | Professional | None | $22.91 | $36.31 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Emblem Health Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $58.88 | Professional | None | $45.71 | $48.98 | $58.88 |
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 $24.55 Median $28.18 Typical High $29.51 | Professional | None | $24.55 | $28.18 | $29.51 |
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 $18.62 Median $24.55 Typical High $46.77 | Professional | None | $18.62 | $24.55 | $46.77 |
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 59 · Distinct service Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | 59 · Distinct service | $36.31 | $37.15 | $37.15 |
Where New Jersey sits
The same service costs 2.7 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· 44th of 51
$23.99
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.