How much rates vary
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 $44.67 Median $44.67 Typical High $53.70 | Facility | None | $44.67 | $44.67 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $53.70 Typical High $199.53 | Professional | None (both parts) | $44.67 | $53.70 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.38 Typical High $47.86 | Professional | 26 · Professional part | $14.13 | $17.38 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $151.36 | Professional | TC · Technical part | $30.20 | $35.48 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $223.87 Typical High $363.08 | Facility | None | $147.91 | $223.87 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $77.62 Typical High $213.80 | Professional | None (both parts) | $44.67 | $77.62 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $25.12 Typical High $61.66 | Professional | 26 · Professional part | $14.13 | $25.12 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $53.70 Typical High $147.91 | Professional | TC · Technical part | $30.20 | $53.70 | $147.91 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $97.72 | $194.98 | $194.98 |
Horizon BCBS Setting Facility Modifier None Typical Low $812.83 Median $18,197.01 Typical High $27,542.29 | Facility | None | $812.83 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $218.78 | Professional | None (both parts) | $95.50 | $95.50 | $218.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $25.70 | $56.23 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $69.18 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $52.48 | $100.00 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $15.14 | $26.92 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $70.79 Typical High $131.83 | Professional | TC · Technical part | $41.69 | $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 $22.39 Median $26.30 Typical High $45.71 | Professional | 52 · Reduced service | $22.39 | $26.30 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.72 Typical High $18.20 | Professional | 53 · Discontinued | $8.91 | $10.72 | $18.20 |
Where New Jersey sits
The same service costs 4.6 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
$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.