How much rates vary
Facilitymedian $501 · 10th to 90th $138 to $21,878Professionalmedian $115 · 10th to 90th $63 to $229
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 $63.10 Median $79.43 Typical High $758.58 | Facility | None | $63.10 | $79.43 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $117.49 | Professional | None (both parts) | $63.10 | $70.79 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $22.39 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $48.98 Typical High $87.10 | Professional | TC · Technical part | $42.66 | $48.98 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $467.74 | Facility | None | $186.21 | $281.84 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $239.88 | Professional | None (both parts) | $61.66 | $89.13 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $64.57 Typical High $72.44 | Professional | 26 · Professional part | $19.50 | $64.57 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $45.71 Typical High $165.96 | Professional | TC · Technical part | $19.50 | $45.71 | $165.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $112.20 | $223.87 | $223.87 |
Horizon BCBS Setting Facility Modifier None Typical Low $144.54 Median $10,964.78 Typical High $23,988.33 | Facility | None | $144.54 | $10,964.78 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $281.84 | Professional | None (both parts) | $114.82 | $114.82 | $281.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $30.90 | $69.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $218.78 | Professional | TC · Technical part | $83.18 | $83.18 | $218.78 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $218.78 | Facility | None | $100.00 | $100.00 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $67.61 | $120.23 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $16.98 | $32.36 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $87.10 Typical High $158.49 | Professional | TC · Technical part | $52.48 | $87.10 | $158.49 |
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 $31.62 Median $35.48 Typical High $58.88 | Professional | 52 · Reduced service | $31.62 | $35.48 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.13 Typical High $23.44 | Professional | 53 · Discontinued | $12.59 | $14.13 | $23.44 |
Where New Jersey sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 40th of 51
$115
AK $331AL $57.54
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.