How much rates vary
Facilitymedian $794 · 10th to 90th $129 to $19,953Professionalmedian $151 · 10th to 90th $93 to $347
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 $95.50 Median $128.82 Typical High $169.82 | Facility | None | $95.50 | $128.82 | $169.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $41.69 | Facility | 26 · Professional part | $33.11 | $41.69 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $123.03 | Facility | TC · Technical part | $63.10 | $87.10 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $346.74 | Professional | None (both parts) | $95.50 | $128.82 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $38.90 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $263.03 | Professional | TC · Technical part | $63.10 | $87.10 | $263.03 |
AmeriHealth Setting Facility Modifier None Typical Low $1,412.54 Median $2,884.03 Typical High $3,630.78 | Facility | None | $1,412.54 | $2,884.03 | $3,630.78 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $87.10 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $302.00 Typical High $575.44 | Facility | None | $199.53 | $302.00 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $131.83 Typical High $354.81 | Professional | None (both parts) | $70.79 | $131.83 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $23.99 | $58.88 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $70.79 Typical High $269.15 | Professional | TC · Technical part | $16.22 | $70.79 | $269.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $138.04 | $251.19 | $251.19 |
Horizon BCBS Setting Facility Modifier None Typical Low $436.52 Median $11,481.54 Typical High $23,988.33 | Facility | None | $436.52 | $11,481.54 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $354.81 | Professional | None (both parts) | $151.36 | $151.36 | $354.81 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $112.20 | Professional | 26 · Professional part | $34.67 | $34.67 | $112.20 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $269.15 | Professional | TC · Technical part | $114.82 | $114.82 | $269.15 |
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 $83.18 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $83.18 | $158.49 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $19.95 | $38.90 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $64.57 | $120.23 | $208.93 |
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 $47.86 Median $47.86 Typical High $83.18 | Professional | 52 · Reduced service | $47.86 | $47.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $33.11 | Professional | 53 · Discontinued | $19.50 | $19.50 | $33.11 |
Where New Jersey sits
The same service costs 4.9 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· 35th of 51
$155
AK $468AL $95.50
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.