How much rates vary
Facilitymedian $1,047 · 10th to 90th $224 to $5,248Professionalmedian $309 · 10th to 90th $245 to $708
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 $5,370.32 Typical High $10,964.78 | Facility | None | $2,754.23 | $5,370.32 | $10,964.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $269.15 | $288.40 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $89.13 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $204.17 Typical High $407.38 | Professional | TC · Technical part | $199.53 | $204.17 | $407.38 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $645.65 | Professional | None (both parts) | $309.03 | $398.11 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $1,659.59 | Facility | None | $165.96 | $309.03 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $288.40 | $346.74 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $223.87 | Professional | 26 · Professional part | $74.13 | $93.33 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $512.86 | Professional | TC · Technical part | $213.80 | $251.19 | $512.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $10.23 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $10.23 | $245.47 | $446.68 |
Horizon BCBS Setting Facility Modifier None Typical Low $208.93 Median $371.54 Typical High $1,023.29 | Facility | None | $208.93 | $371.54 | $1,023.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $831.76 | Professional | None (both parts) | $281.84 | $346.74 | $831.76 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $234.42 | Professional | 26 · Professional part | $77.62 | $93.33 | $234.42 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $588.84 | Professional | TC · Technical part | $208.93 | $251.19 | $588.84 |
United Setting Facility Modifier None Typical Low $309.03 Median $1,348.96 Typical High $3,890.45 | Facility | None | $309.03 | $1,348.96 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $724.44 | Professional | None (both parts) | $208.93 | $288.40 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $204.17 | Professional | 26 · Professional part | $61.66 | $79.43 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $213.80 | $537.03 |
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 $134.90 Median $134.90 Typical High $169.82 | Professional | 52 · Reduced service | $134.90 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | 53 · Discontinued | $54.95 | $54.95 | $67.61 |
Where New Jersey sits
The same service costs 4.8 times more in Alaska 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· 33rd of 51
$347
AK $1,000UT $209
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.