How much rates vary
Facilitymedian $1,047 · 10th to 90th $209 to $5,248Professionalmedian $234 · 10th to 90th $182 to $513
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 $2,754.23 Median $5,495.41 Typical High $11,748.98 | Facility | None | $2,754.23 | $5,495.41 | $11,748.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $457.09 | Professional | None (both parts) | $186.21 | $204.17 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $79.43 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $123.03 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $1,659.59 | Facility | None | $144.54 | $269.15 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $218.78 | $245.47 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $199.53 | Professional | 26 · Professional part | $66.07 | $83.18 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $165.96 Typical High $338.84 | Professional | TC · Technical part | $144.54 | $165.96 | $338.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $10.23 | $288.40 | $323.59 |
Horizon BCBS Setting Facility Modifier None Typical Low $208.93 Median $371.54 Typical High $933.25 | Facility | None | $208.93 | $371.54 | $933.25 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $588.84 | Professional | None (both parts) | $208.93 | $251.19 | $588.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $199.53 | Professional | 26 · Professional part | $70.79 | $85.11 | $199.53 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $363.08 | Professional | TC · Technical part | $138.04 | $165.96 | $363.08 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,380.38 Typical High $3,801.89 | Facility | None | $316.23 | $1,380.38 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $524.81 | Professional | None (both parts) | $151.36 | $213.80 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $181.97 | Professional | 26 · Professional part | $56.23 | $72.44 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $338.84 | Professional | TC · Technical part | $95.50 | $138.04 | $338.84 |
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 $93.33 Median $93.33 Typical High $117.49 | Professional | 52 · Reduced service | $93.33 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | 53 · Discontinued | $37.15 | $37.15 | $46.77 |
Where New Jersey sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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
$251
WI $708UT $135
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.