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 $26.30 Median $26.30 Typical High $87.10 | Facility | None | $26.30 | $26.30 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $87.10 | Professional | None | $26.30 | $26.30 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $42.66 | Professional | 52 · Reduced service | $12.88 | $12.88 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $17.38 | Professional | 53 · Discontinued | $5.25 | $5.25 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $141.25 | Professional | None | $60.26 | $70.79 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Emblem Health Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $457.09 | Professional | None | $275.42 | $331.13 | $457.09 |
Horizon BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $151.36 | Professional | None | $79.43 | $79.43 | $151.36 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $263.03 | Professional | None | $114.82 | $165.96 | $263.03 |
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 |
|---|---|---|---|---|---|
Horizon BCBS Setting Professional Modifier RR · Rental Typical Low $12.59 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $12.59 | $79.43 | $79.43 |
Where New Jersey sits
The same service costs 4.9 times more in Nebraska than in Florida. 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· 41st of 51
$79.43
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.