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 $363.08 Median $457.09 Typical High $912.01 | Facility | None | $363.08 | $457.09 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $363.08 | $363.08 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $295.12 | Professional | 52 · Reduced service | $181.97 | $181.97 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $117.49 | Professional | 53 · Discontinued | $72.44 | $72.44 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $3,388.44 | Facility | None | $794.33 | $1,778.28 | $3,388.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,258.93 | Professional | None (both parts) | $912.01 | $912.01 | $1,258.93 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,495.41 Median $18,197.01 Typical High $27,542.29 | Facility | None | $5,495.41 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $416.87 Typical High $691.83 | Professional | None (both parts) | $275.42 | $416.87 | $691.83 |
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 $512.86 Median $588.84 Typical High $660.69 | Professional | 26 · Professional part | $512.86 | $588.84 | $660.69 |
Where New Jersey sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$479
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.