How much rates vary
Facilitymedian $1,000 · 10th to 90th $85 to $20,893Professionalmedian $145 · 10th to 90th $71 to $302
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 $70.79 Median $85.11 Typical High $794.33 | Facility | None | $70.79 | $85.11 | $794.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $27.54 | Facility | 26 · Professional part | $22.91 | $27.54 | $27.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $93.33 | Facility | TC · Technical part | $47.86 | $56.23 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $331.13 | Professional | None (both parts) | $70.79 | $109.65 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $69.18 | Professional | 26 · Professional part | $22.91 | $27.54 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $75.86 Typical High $263.03 | Professional | TC · Technical part | $47.86 | $75.86 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $165.96 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $165.96 | $251.19 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $309.03 Typical High $537.03 | Facility | None | $204.17 | $309.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $125.89 Typical High $346.74 | Professional | None (both parts) | $70.79 | $125.89 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $21.38 | $40.74 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $85.11 Typical High $234.42 | Professional | TC · Technical part | $47.86 | $85.11 | $234.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $131.83 | $263.03 | $263.03 |
Horizon BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,481.54 Typical High $23,988.33 | Facility | None | $933.25 | $11,481.54 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $309.03 | Professional | None (both parts) | $144.54 | $144.54 | $309.03 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $30.20 | $75.86 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $245.47 | Professional | TC · Technical part | $112.20 | $112.20 | $245.47 |
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 $74.13 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $74.13 | $141.25 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $17.78 | $32.36 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $204.17 | Professional | TC · Technical part | $66.07 | $112.20 | $204.17 |
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 $35.48 Median $42.66 Typical High $64.57 | Professional | 52 · Reduced service | $35.48 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.98 Typical High $25.70 | Professional | 53 · Discontinued | $14.13 | $16.98 | $25.70 |
Where New Jersey sits
The same service costs 7.1 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· 39th of 51
$145
AK $417AL $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.