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 $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 $186.21 Typical High $478.63 | Professional | None (both parts) | $186.21 | $186.21 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $61.66 | $61.66 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $380.19 | Professional | TC · Technical part | $123.03 | $123.03 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $724.44 | Professional | None (both parts) | $302.00 | $467.74 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $218.78 | Professional | 26 · Professional part | $81.28 | $87.10 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $380.19 | $549.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $676.08 | Professional | None (both parts) | $645.65 | $645.65 | $676.08 |
Horizon BCBS Setting Facility Modifier None Typical Low $562.34 Median $851.14 Typical High $1,174.90 | Facility | None | $562.34 | $851.14 | $1,174.90 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $371.54 | $398.11 | $724.44 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $190.55 | Professional | 26 · Professional part | $75.86 | $89.13 | $190.55 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $562.34 | Professional | TC · Technical part | $239.88 | $295.12 | $562.34 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $3,311.31 Typical High $5,888.44 | Facility | None | $1,122.02 | $3,311.31 | $5,888.44 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $371.54 Typical High $912.01 | Professional | None (both parts) | $229.09 | $371.54 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $208.93 | Professional | 26 · Professional part | $66.07 | $87.10 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $691.83 | Professional | TC · Technical part | $186.21 | $281.84 | $691.83 |
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 $218.78 | Professional | 52 · Reduced service | $93.33 | $93.33 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $87.10 | Professional | 53 · Discontinued | $37.15 | $37.15 | $87.10 |
Where New Jersey sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 34th of 51
$380
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.