How much rates vary
Facilitymedian $162 · 10th to 90th $29 to $19,953Professionalmedian $31 · 10th to 90th $19 to $63
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 $21.88 Median $30.90 Typical High $95.50 | Facility | None | $21.88 | $30.90 | $95.50 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $3.80 Median $5.01 Typical High $5.01 | Facility | 26 · Professional part | $3.80 | $5.01 | $5.01 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $35.48 | Facility | TC · Technical part | $16.98 | $22.39 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $30.90 Typical High $60.26 | Professional | None (both parts) | $20.89 | $30.90 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.80 Median $5.50 Typical High $12.30 | Professional | 26 · Professional part | $3.80 | $5.50 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.92 Typical High $48.98 | Professional | TC · Technical part | $16.98 | $26.92 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None (both parts) | $20.42 | $20.42 | $20.42 |
AmeriHealth Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $2,238.72 | Facility | None | $851.14 | $1,548.82 | $2,238.72 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $37.15 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $37.15 | $87.10 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $61.66 Typical High $112.20 | Facility | None | $40.74 | $61.66 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $29.51 Typical High $63.10 | Professional | None (both parts) | $18.20 | $29.51 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $3.63 | $11.75 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $14.79 Typical High $47.86 | Professional | TC · Technical part | $10.23 | $14.79 | $47.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $24.55 | $48.98 | $79.43 |
Horizon BCBS Setting Facility Modifier None Typical Low $97.72 Median $11,748.98 Typical High $23,988.33 | Facility | None | $97.72 | $11,748.98 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $85.11 | Professional | None (both parts) | $25.70 | $25.70 | $85.11 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $5.50 Typical High $13.49 | Professional | 26 · Professional part | $5.50 | $5.50 | $13.49 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $72.44 | Professional | TC · Technical part | $19.95 | $19.95 | $72.44 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $154.88 | Facility | None | $72.44 | $72.44 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $16.22 Median $26.92 Typical High $48.98 | Professional | None (both parts) | $16.22 | $26.92 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $5.89 Typical High $10.47 | Professional | 26 · Professional part | $3.16 | $5.89 | $10.47 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $21.88 Typical High $38.02 | Professional | TC · Technical part | $12.88 | $21.88 | $38.02 |
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 $10.47 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $10.47 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $4.17 | $6.17 | $6.17 |
Where New Jersey sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 35th of 51
$34.67
AK $123AR $28.18
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.