How much rates vary
Facilitymedian $525 · 10th to 90th $41 to $3,162Professionalmedian $55 · 10th to 90th $44 to $98
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 $40.74 Median $53.70 Typical High $912.01 | Facility | None | $40.74 | $53.70 | $912.01 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $31.62 | Facility | 26 · Professional part | $25.12 | $25.12 | $31.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $18.20 | Facility | TC · Technical part | $15.85 | $15.85 | $18.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $91.20 | Professional | None (both parts) | $40.74 | $48.98 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $31.62 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.05 Typical High $38.90 | Professional | TC · Technical part | $15.85 | $19.05 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $52.48 | Professional | 26 · Professional part | $39.81 | $50.12 | $52.48 |
AmeriHealth Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $12,302.69 | Facility | None | $338.84 | $338.84 | $12,302.69 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $1,288.25 Typical High $2,137.96 | Facility | TC · Technical part | $338.84 | $1,288.25 | $2,137.96 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $100.00 | Professional | None (both parts) | $44.67 | $57.54 | $100.00 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $25.70 | $35.48 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $41.69 Typical High $616.60 | Facility | None | $23.99 | $41.69 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $56.23 Typical High $114.82 | Professional | None (both parts) | $53.70 | $56.23 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $33.88 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $24.55 Typical High $43.65 | Professional | TC · Technical part | $20.89 | $24.55 | $43.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $56.23 | $81.28 | $81.28 |
Horizon BCBS Setting Facility Modifier None Typical Low $36.31 Median $64.57 Typical High $758.58 | Facility | None | $36.31 | $64.57 | $758.58 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $134.90 | Professional | None (both parts) | $47.86 | $54.95 | $134.90 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $77.62 | Professional | 26 · Professional part | $28.18 | $32.36 | $77.62 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $58.88 | Professional | TC · Technical part | $19.50 | $22.91 | $58.88 |
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 $40.74 Median $51.29 Typical High $97.72 | Professional | None (both parts) | $40.74 | $51.29 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $29.51 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.89 Typical High $39.81 | Professional | TC · Technical part | $16.22 | $20.89 | $39.81 |
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 $20.42 Median $24.55 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.77 Typical High $10.00 | Professional | 53 · Discontinued | $8.13 | $9.77 | $10.00 |
Where New Jersey sits
The same service costs 6.5 times more in Minnesota 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· 37th of 51
$56.23
MN $295KY $45.71
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.