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 $87.10 Median $109.65 Typical High $218.78 | Facility | None | $87.10 | $109.65 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $117.49 | Professional | None (both parts) | $87.10 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | 52 · Reduced service | $43.65 | $43.65 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $25.12 | Professional | 53 · Discontinued | $17.38 | $17.38 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $467.74 Typical High $870.96 | Facility | None | $190.55 | $467.74 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $263.03 | $263.03 | $363.08 |
Horizon BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $15,488.17 Typical High $26,915.35 | Facility | None | $4,365.16 | $15,488.17 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
United Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $66.07 | $89.13 | $158.49 |
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 $117.49 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $117.49 | $125.89 | $169.82 |
Where New Jersey sits
The same service costs 15.8 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· 42nd of 51
$105
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.