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 $46.77 Median $50.12 Typical High $50.12 | Facility | None | $46.77 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $46.77 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $24.55 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Facility | None | $64.57 | $64.57 | $77.62 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $83.18 Typical High $89.13 | Professional | None (both parts) | $72.44 | $83.18 | $89.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $28.84 | $28.84 | $37.15 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $40.74 | $53.70 | $53.70 |
Horizon BCBS Setting Facility Modifier None Typical Low $64.57 Median $107.15 Typical High $134.90 | Facility | None | $64.57 | $107.15 | $134.90 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $48.98 Typical High $70.79 | Professional | None (both parts) | $42.66 | $48.98 | $70.79 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.91 Typical High $32.36 | Professional | 26 · Professional part | $19.95 | $22.91 | $32.36 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $38.02 | Professional | TC · Technical part | $22.91 | $26.30 | $38.02 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $120.23 | Facility | None | $54.95 | $54.95 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $57.54 Typical High $97.72 | Professional | None (both parts) | $41.69 | $57.54 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $46.77 | Professional | 26 · Professional part | $19.05 | $21.88 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $22.39 | $37.15 | $54.95 |
2 more rates 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 52 · Reduced service Typical Low $23.44 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $23.44 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $9.33 | $10.00 | $10.00 |
Where New Jersey sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 31st of 51
$48.98
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.