How much rates vary
Facilitymedian $316 · 10th to 90th $49 to $20,893Professionalmedian $76 · 10th to 90th $41 to $162
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 $40.74 Median $48.98 Typical High $954.99 | Facility | None | $40.74 | $48.98 | $954.99 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $15.14 | Facility | 26 · Professional part | $12.59 | $15.14 | $15.14 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $56.23 | Facility | TC · Technical part | $28.84 | $33.88 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $66.07 Typical High $169.82 | Professional | None (both parts) | $40.74 | $66.07 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.95 Typical High $50.12 | Professional | 26 · Professional part | $12.59 | $19.95 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $44.67 Typical High $117.49 | Professional | TC · Technical part | $28.84 | $44.67 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
AmeriHealth Setting Facility Modifier None Typical Low $316.23 Median $891.25 Typical High $7,762.47 | Facility | None | $316.23 | $891.25 | $7,762.47 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $812.83 Typical High $1,258.93 | Facility | TC · Technical part | $489.78 | $812.83 | $1,258.93 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $104.71 | $138.04 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $158.49 Typical High $281.84 | Facility | None | $102.33 | $158.49 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $72.44 Typical High $181.97 | Professional | None (both parts) | $41.69 | $72.44 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $21.88 Typical High $56.23 | Professional | 26 · Professional part | $12.30 | $21.88 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $50.12 Typical High $125.89 | Professional | TC · Technical part | $28.18 | $50.12 | $125.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $70.79 | $141.25 | $141.25 |
Horizon BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $15,488.17 Typical High $26,915.35 | Facility | None | $4,365.16 | $15,488.17 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $169.82 | Professional | None (both parts) | $75.86 | $75.86 | $169.82 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $22.39 | $47.86 |
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 Professional Modifier None (both parts) Typical Low $41.69 Median $75.86 Typical High $138.04 | Professional | None (both parts) | $41.69 | $75.86 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $23.44 Typical High $40.74 | Professional | 26 · Professional part | $12.59 | $23.44 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $33.88 | $54.95 | $97.72 |
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 $20.42 Median $24.55 Typical High $34.67 | Professional | 52 · Reduced service | $20.42 | $24.55 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.77 Typical High $13.80 | Professional | 53 · Discontinued | $8.32 | $9.77 | $13.80 |
Where New Jersey sits
The same service costs 5.9 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· 41st of 51
$75.86
AK $347AL $58.88
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.