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 $36.31 Median $36.31 Typical High $43.65 | Facility | None | $36.31 | $36.31 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $57.54 | Professional | None (both parts) | $36.31 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $12.02 | $12.88 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $38.90 | Professional | TC · Technical part | $24.55 | $26.30 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $173.78 | Facility | None | $74.13 | $95.50 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $64.57 Typical High $147.91 | Professional | None (both parts) | $36.31 | $64.57 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $21.38 Typical High $50.12 | Professional | 26 · Professional part | $11.75 | $21.38 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $42.66 Typical High $97.72 | Professional | TC · Technical part | $23.44 | $42.66 | $97.72 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $47.86 | $93.33 | $93.33 |
Horizon BCBS Setting Facility Modifier None Typical Low $398.11 Median $18,197.01 Typical High $27,542.29 | Facility | None | $398.11 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $128.82 | Professional | None (both parts) | $60.26 | $60.26 | $128.82 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $43.65 | Professional | 26 · Professional part | $20.89 | $20.89 | $43.65 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $87.10 | Professional | TC · Technical part | $39.81 | $39.81 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $58.88 Typical High $109.65 | Professional | None (both parts) | $30.90 | $58.88 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $22.39 Typical High $38.02 | Professional | 26 · Professional part | $11.22 | $22.39 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $38.02 Typical High $70.79 | Professional | TC · Technical part | $19.95 | $38.02 | $70.79 |
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 $18.20 Median $20.89 Typical High $28.84 | Professional | 52 · Reduced service | $18.20 | $20.89 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.51 Typical High $11.48 | Professional | 53 · Discontinued | $7.41 | $8.51 | $11.48 |
Where New Jersey sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 38th of 51
$60.26
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.