How much rates vary
Facilitymedian $339 · 10th to 90th $48 to $19,953Professionalmedian $63 · 10th to 90th $42 to $141
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 $45.71 Median $47.86 Typical High $616.60 | Facility | None | $45.71 | $47.86 | $616.60 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $9.12 | Facility | 26 · Professional part | $6.76 | $8.32 | $9.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $39.81 Typical High $75.86 | Facility | TC · Technical part | $38.90 | $39.81 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $151.36 | Professional | None (both parts) | $43.65 | $63.10 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.77 Typical High $21.88 | Professional | 26 · Professional part | $6.76 | $9.77 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $128.82 | Professional | TC · Technical part | $38.90 | $54.95 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | None (both parts) | $41.69 | $41.69 | $46.77 |
AmeriHealth Setting Facility Modifier None Typical Low $120.23 Median $724.44 Typical High $5,011.87 | Facility | None | $120.23 | $724.44 | $5,011.87 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $93.33 | $147.91 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $288.40 | Facility | None | $107.15 | $162.18 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $51.29 Typical High $141.25 | Professional | None (both parts) | $19.50 | $51.29 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $17.78 Typical High $23.44 | Professional | 26 · Professional part | $6.46 | $17.78 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $35.48 Typical High $117.49 | Professional | TC · Technical part | $4.37 | $35.48 | $117.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $61.66 | $100.00 | $123.03 |
Horizon BCBS Setting Facility Modifier None Typical Low $338.84 Median $11,481.54 Typical High $23,988.33 | Facility | None | $338.84 | $11,481.54 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $144.54 | Professional | None (both parts) | $63.10 | $63.10 | $144.54 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $22.91 | Professional | 26 · Professional part | $9.55 | $9.55 | $22.91 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $123.03 | Professional | TC · Technical part | $53.70 | $53.70 | $123.03 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $66.07 Typical High $114.82 | Professional | None (both parts) | $38.90 | $66.07 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $10.23 Typical High $18.20 | Professional | 26 · Professional part | $5.50 | $10.23 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $56.23 Typical High $100.00 | Professional | TC · Technical part | $33.88 | $56.23 | $100.00 |
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 $21.88 Median $22.91 Typical High $38.02 | Professional | 52 · Reduced service | $21.88 | $22.91 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $15.14 | Professional | 53 · Discontinued | $8.71 | $9.12 | $15.14 |
Where New Jersey sits
The same service costs 6.0 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· 29th of 51
$75.86
AK $209AL $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.