How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $40.74 Median $40.74 Typical High $85.11 | Facility | None | $40.74 | $40.74 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | None | $40.74 | $40.74 | $44.67 |
AmeriHealth Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $407.38 | Facility | None | $275.42 | $398.11 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $46.77 Typical High $61.66 | Facility | None | $35.48 | $46.77 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | None | $38.02 | $44.67 | $44.67 |
Horizon BCBS Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $43.65 | Professional | None | $42.66 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $47.86 | Professional | None | $39.81 | $39.81 | $47.86 |
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 $39.81 Median $39.81 Typical High $40.74 | Professional | JZ · No drug discarded | $39.81 | $39.81 | $40.74 |
Where New Jersey sits
Rates are fairly even across states for this service. 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· 42nd of 51
$40.74
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.