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 $2.82 Median $2.82 Typical High $5.75 | Facility | None | $2.82 | $2.82 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $3.63 | Professional | None | $2.82 | $2.82 | $3.63 |
AmeriHealth Setting Facility Modifier None Typical Low $3.16 Median $3.47 Typical High $7.59 | Facility | None | $3.16 | $3.47 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $3.16 Typical High $4.57 | Facility | None | $2.82 | $3.16 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $2.88 Median $3.80 Typical High $10.23 | Facility | None | $2.88 | $3.80 | $10.23 |
Horizon BCBS Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
United Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $3.24 | Professional | None | $2.88 | $2.88 | $3.24 |
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 JZ · No drug discarded Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | JZ · No drug discarded | $2.88 | $2.88 | $2.88 |
Where New Jersey sits
The same service costs 2.2 times more in Wyoming than in Georgia. 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· 35th of 51
$2.88
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.