How much rates vary
Facilitymedian $1,023 · 10th to 90th $209 to $19,953Professionalmedian $229 · 10th to 90th $129 to $501
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 $128.82 Median $208.93 Typical High $912.01 | Facility | None | $128.82 | $208.93 | $912.01 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $58.88 | Facility | 26 · Professional part | $45.71 | $58.88 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $151.36 Typical High $208.93 | Facility | TC · Technical part | $83.18 | $151.36 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $489.78 | Professional | None (both parts) | $128.82 | $223.87 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $144.54 | Professional | 26 · Professional part | $45.71 | $69.18 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $154.88 Typical High $354.81 | Professional | TC · Technical part | $83.18 | $154.88 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $107.15 | $134.90 | $134.90 |
AmeriHealth Setting Facility Modifier None Typical Low $676.08 Median $1,621.81 Typical High $3,311.31 | Facility | None | $676.08 | $1,621.81 | $3,311.31 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,995.26 Typical High $2,884.03 | Facility | TC · Technical part | $1,122.02 | $1,995.26 | $2,884.03 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $213.80 | Professional | 26 · Professional part | $72.44 | $83.18 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $870.96 | Facility | None | $316.23 | $478.63 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $537.03 | Professional | None (both parts) | $123.03 | $181.97 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $120.23 Typical High $165.96 | Professional | 26 · Professional part | $43.65 | $120.23 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $114.82 Typical High $371.54 | Professional | TC · Technical part | $33.11 | $114.82 | $371.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $213.80 | $338.84 | $416.87 |
Horizon BCBS Setting Facility Modifier None Typical Low $851.14 Median $10,964.78 Typical High $23,988.33 | Facility | None | $851.14 | $10,964.78 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $562.34 | Professional | None (both parts) | $229.09 | $229.09 | $562.34 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $66.07 | $158.49 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $398.11 | Professional | TC · Technical part | $162.18 | $162.18 | $398.11 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,513.56 | Facility | None | $691.83 | $691.83 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $131.83 | $223.87 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $38.02 | $69.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $100.00 | $162.18 | $309.03 |
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 $64.57 Median $91.20 Typical High $112.20 | Professional | 52 · Reduced service | $64.57 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $36.31 Typical High $44.67 | Professional | 53 · Discontinued | $25.70 | $36.31 | $44.67 |
Where New Jersey sits
The same service costs 4.2 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· 32nd of 51
$263
AK $575AL $138
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.