How much rates vary
Facilitymedian $457 · 10th to 90th $62 to $19,953Professionalmedian $105 · 10th to 90th $56 to $224
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 $75.86 Typical High $75.86 | Facility | None | $61.66 | $75.86 | $75.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $29.51 | Facility | 26 · Professional part | $24.55 | $29.51 | $29.51 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $46.77 Typical High $72.44 | Facility | TC · Technical part | $37.15 | $46.77 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $302.00 | Professional | None (both parts) | $58.88 | $69.18 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $66.07 | Professional | 26 · Professional part | $22.91 | $24.55 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $46.77 Typical High $234.42 | Professional | TC · Technical part | $35.48 | $46.77 | $234.42 |
AmeriHealth Setting Facility Modifier None Typical Low $44.67 Median $186.21 Typical High $5,495.41 | Facility | None | $44.67 | $186.21 | $5,495.41 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $57.54 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $457.09 | Facility | None | $165.96 | $251.19 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $61.66 Typical High $190.55 | Professional | None (both parts) | $56.23 | $61.66 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $20.42 | $43.65 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $38.02 Typical High $134.90 | Professional | TC · Technical part | $12.02 | $38.02 | $134.90 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $104.71 | $204.17 | $204.17 |
Horizon BCBS Setting Facility Modifier None Typical Low $426.58 Median $10,964.78 Typical High $23,988.33 | Facility | None | $426.58 | $10,964.78 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $257.04 | Professional | None (both parts) | $104.71 | $104.71 | $257.04 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $77.62 | Professional | 26 · Professional part | $28.18 | $28.18 | $77.62 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $75.86 | $194.98 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $707.95 | Facility | None | $331.13 | $331.13 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $57.54 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $16.22 | $30.20 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $47.86 | $79.43 | $144.54 |
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 $29.51 Median $30.90 Typical High $58.88 | Professional | 52 · Reduced service | $29.51 | $30.90 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $23.44 | Professional | 53 · Discontinued | $11.75 | $12.30 | $23.44 |
Where New Jersey sits
The same service costs 5.2 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· 46th of 51
$105
AK $309AL $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.