How much rates vary
Facilitymedian $1,660 · 10th to 90th $263 to $6,457Professionalmedian $174 · 10th to 90th $126 to $398
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 $123.03 Median $4,786.30 Typical High $10,471.29 | Facility | None | $123.03 | $4,786.30 | $10,471.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $398.11 | Professional | None (both parts) | $123.03 | $134.90 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $41.69 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $229.09 | Professional | TC · Technical part | $79.43 | $91.20 | $229.09 |
AmeriHealth Setting Facility Modifier None Typical Low $645.65 Median $1,318.26 Typical High $7,079.46 | Facility | None | $645.65 | $1,318.26 | $7,079.46 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $151.36 Median $229.09 Typical High $436.52 | Professional | None (both parts) | $151.36 | $229.09 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $2,137.96 Typical High $3,019.95 | Facility | None | $251.19 | $2,137.96 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $173.78 | $204.17 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $104.71 | Professional | 26 · Professional part | $34.67 | $47.86 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $120.23 | $165.96 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $25.70 | $245.47 | $288.40 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $158.49 | $194.98 | $512.86 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $117.49 | Professional | 26 · Professional part | $37.15 | $44.67 | $117.49 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $389.05 | Professional | TC · Technical part | $123.03 | $147.91 | $389.05 |
United Setting Facility Modifier None Typical Low $309.03 Median $1,412.54 Typical High $3,890.45 | Facility | None | $309.03 | $1,412.54 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $114.82 | $165.96 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $95.50 | Professional | 26 · Professional part | $29.51 | $38.02 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $125.89 Typical High $302.00 | Professional | TC · Technical part | $85.11 | $125.89 | $302.00 |
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 $61.66 Median $63.10 Typical High $95.50 | Professional | 52 · Reduced service | $61.66 | $63.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $38.02 | Professional | 53 · Discontinued | $24.55 | $25.70 | $38.02 |
Where New Jersey sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$204
AK $759TX $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.