How much rates vary
Facilitymedian $2,570 · 10th to 90th $398 to $19,498Professionalmedian $372 · 10th to 90th $195 to $813
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 $398.11 Median $512.86 Typical High $512.86 | Facility | None | $398.11 | $512.86 | $512.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $52.48 | Facility | 26 · Professional part | $42.66 | $52.48 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $457.09 Typical High $691.83 | Facility | TC · Technical part | $354.81 | $457.09 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $218.78 | $398.11 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $46.77 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $645.65 | Professional | TC · Technical part | $173.78 | $354.81 | $645.65 |
AmeriHealth Setting Facility Modifier None Typical Low $363.08 Median $3,467.37 Typical High $14,125.38 | Facility | None | $363.08 | $3,467.37 | $14,125.38 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | 26 · Professional part | $125.89 | $125.89 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $891.25 Typical High $1,621.81 | Facility | None | $630.96 | $891.25 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $707.95 | Professional | None (both parts) | $144.54 | $223.87 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $40.74 | $97.72 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $204.17 Typical High $562.34 | Professional | TC · Technical part | $47.86 | $204.17 | $562.34 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $363.08 | $724.44 | $724.44 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $11,481.54 Typical High $23,988.33 | Facility | None | $2,089.30 | $11,481.54 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $1,202.26 | Professional | None (both parts) | $323.59 | $323.59 | $1,202.26 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $60.26 | $144.54 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $1,071.52 | Professional | TC · Technical part | $263.03 | $263.03 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,388.44 | Facility | None | $1,548.82 | $1,548.82 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $346.74 Typical High $616.60 | Professional | None (both parts) | $223.87 | $346.74 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $64.57 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $302.00 | $524.81 |
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 $109.65 Median $199.53 Typical High $257.04 | Professional | 52 · Reduced service | $109.65 | $199.53 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $79.43 Typical High $102.33 | Professional | 53 · Discontinued | $43.65 | $79.43 | $102.33 |
Where New Jersey sits
The same service costs 11.5 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· 40th of 51
$398
AK $1,778AL $155
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.