How much rates vary
Facilitymedian $200 · 10th to 90th $69 to $19,498Professionalmedian $87 · 10th to 90th $56 to $195
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 $61.66 Median $69.18 Typical High $707.95 | Facility | None | $61.66 | $69.18 | $707.95 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $15.49 Median $19.05 Typical High $19.05 | Facility | 26 · Professional part | $15.49 | $19.05 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $91.20 | Facility | TC · Technical part | $46.77 | $48.98 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $61.66 | $89.13 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $47.86 | Professional | 26 · Professional part | $15.49 | $22.39 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $158.49 | Professional | TC · Technical part | $46.77 | $69.18 | $158.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
AmeriHealth Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $263.03 | Facility | None | $89.13 | $141.25 | $263.03 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $263.03 Typical High $380.19 | Facility | TC · Technical part | $125.89 | $263.03 | $380.19 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $104.71 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $104.71 | $199.53 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $371.54 | Facility | None | $128.82 | $194.98 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $67.61 Typical High $199.53 | Professional | None (both parts) | $33.11 | $67.61 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $14.45 | $30.90 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $43.65 Typical High $144.54 | Professional | TC · Technical part | $5.13 | $43.65 | $144.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $83.18 | $134.90 | $165.96 |
Horizon BCBS Setting Facility Modifier None Typical Low $134.90 Median $10,964.78 Typical High $23,988.33 | Facility | None | $134.90 | $10,964.78 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $199.53 | Professional | None (both parts) | $87.10 | $87.10 | $199.53 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $20.89 | $52.48 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $66.07 | $154.88 |
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 $52.48 Median $91.20 Typical High $162.18 | Professional | None (both parts) | $52.48 | $91.20 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $22.39 Typical High $39.81 | Professional | 26 · Professional part | $12.30 | $22.39 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $40.74 | $69.18 | $123.03 |
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 $30.90 Median $30.90 Typical High $52.48 | Professional | 52 · Reduced service | $30.90 | $30.90 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $20.89 | Professional | 53 · Discontinued | $12.30 | $12.30 | $20.89 |
Where New Jersey sits
The same service costs 5.5 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· 28th of 51
$105
AK $269AL $48.98
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.