How much rates vary
Facilitymedian $437 · 10th to 90th $115 to $20,417Professionalmedian $105 · 10th to 90th $74 to $229
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 $93.33 Median $114.82 Typical High $114.82 | Facility | None | $93.33 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $125.89 | Professional | None (both parts) | $93.33 | $93.33 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $33.88 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $81.28 | Professional | TC · Technical part | $56.23 | $60.26 | $81.28 |
AmeriHealth Setting Facility Modifier None Typical Low $165.96 Median $281.84 Typical High $436.52 | Facility | None | $165.96 | $281.84 | $436.52 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $70.79 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $354.81 | Facility | None | $131.83 | $169.82 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $138.04 Typical High $302.00 | Professional | None (both parts) | $81.28 | $138.04 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $52.48 Typical High $114.82 | Professional | 26 · Professional part | $27.54 | $52.48 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $194.98 | Professional | TC · Technical part | $51.29 | $87.10 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $87.10 | $169.82 | $169.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $794.33 Median $10,964.78 Typical High $23,988.33 | Facility | None | $794.33 | $10,964.78 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $302.00 | Professional | None (both parts) | $104.71 | $104.71 | $302.00 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $109.65 | Professional | 26 · Professional part | $35.48 | $35.48 | $109.65 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $194.98 | Professional | TC · Technical part | $69.18 | $69.18 | $194.98 |
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 $57.54 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $57.54 | $102.33 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $19.50 | $37.15 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $70.79 Typical High $131.83 | Professional | TC · Technical part | $38.02 | $70.79 | $131.83 |
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 $46.77 Median $46.77 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $18.62 | $22.91 |
Where New Jersey sits
The same service costs 4.5 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· 33rd of 51
$126
AK $316AL $70.79
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.