How much rates vary
Facilitymedian $347 · 10th to 90th $32 to $20,893Professionalmedian $45 · 10th to 90th $30 to $102
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 $31.62 Median $38.90 Typical High $177.83 | Facility | None | $31.62 | $38.90 | $177.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $25.12 | Facility | 26 · Professional part | $17.38 | $25.12 | $25.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.49 Median $14.45 Typical High $28.18 | Facility | TC · Technical part | $13.49 | $14.45 | $28.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.90 Typical High $102.33 | Professional | None (both parts) | $31.62 | $38.90 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $64.57 | Professional | 26 · Professional part | $17.38 | $25.12 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $14.45 Typical High $38.02 | Professional | TC · Technical part | $12.88 | $14.45 | $38.02 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $57.54 | $57.54 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $61.66 Typical High $100.00 | Facility | None | $43.65 | $61.66 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $56.23 Typical High $112.20 | Professional | None (both parts) | $30.20 | $56.23 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $18.20 | $51.29 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $15.49 Typical High $40.74 | Professional | TC · Technical part | $11.48 | $15.49 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $72.44 Typical High $79.43 | Professional | None (both parts) | $40.74 | $72.44 | $79.43 |
Horizon BCBS Setting Facility Modifier None Typical Low $380.19 Median $10,964.78 Typical High $23,988.33 | Facility | None | $380.19 | $10,964.78 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $107.15 | Professional | None (both parts) | $44.67 | $44.67 | $107.15 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $69.18 | Professional | 26 · Professional part | $28.84 | $28.84 | $69.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $38.90 | Professional | TC · Technical part | $16.22 | $16.22 | $38.90 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $707.95 | Facility | None | $331.13 | $331.13 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $26.30 | $46.77 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $15.85 | $30.20 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $16.98 Typical High $30.90 | Professional | TC · Technical part | $10.72 | $16.98 | $30.90 |
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 $15.85 Median $17.78 Typical High $24.55 | Professional | 52 · Reduced service | $15.85 | $17.78 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.08 Typical High $9.77 | Professional | 53 · Discontinued | $6.31 | $7.08 | $9.77 |
Where New Jersey sits
The same service costs 3.2 times more in Wisconsin than in Nevada. 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· 42nd of 51
$48.98
WI $112NV $34.67
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.