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 $239.88 Median $302.00 Typical High $602.56 | Facility | None | $239.88 | $302.00 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $239.88 | $239.88 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,071.52 Typical High $1,995.26 | Facility | None | $467.74 | $1,071.52 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $758.58 | Professional | None (both parts) | $537.03 | $537.03 | $758.58 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $15,488.17 Typical High $26,915.35 | Facility | None | $5,888.44 | $15,488.17 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $169.82 | $245.47 | $416.87 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $346.74 Typical High $389.05 | Professional | 26 · Professional part | $302.00 | $346.74 | $389.05 |
Where New Jersey sits
The same service costs 11.7 times more in Texas than in Alabama. 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· 37th of 51
$288
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.