How much rates vary
Facilitymedian $7,762 · 10th to 90th $155 to $22,387Professionalmedian $324 · 10th to 90th $129 to $646
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 $128.82 Median $154.88 Typical High $154.88 | Facility | None | $128.82 | $154.88 | $154.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $44.67 | Facility | 26 · Professional part | $37.15 | $44.67 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $181.97 | Facility | TC · Technical part | $93.33 | $109.65 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $724.44 | Professional | None (both parts) | $128.82 | $181.97 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $39.81 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $616.60 | Professional | TC · Technical part | $93.33 | $109.65 | $616.60 |
AmeriHealth Setting Facility Modifier None Typical Low $11,220.18 Median $16,595.87 Typical High $25,703.96 | Facility | None | $11,220.18 | $16,595.87 | $25,703.96 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $478.63 | $478.63 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $741.31 Typical High $1,288.25 | Facility | None | $489.78 | $741.31 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $229.09 Typical High $630.96 | Professional | None (both parts) | $128.82 | $229.09 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $34.67 | $66.07 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $162.18 Typical High $489.78 | Professional | TC · Technical part | $91.20 | $162.18 | $489.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $295.12 | $575.44 | $575.44 |
Horizon BCBS Setting Facility Modifier None Typical Low $398.11 Median $10,964.78 Typical High $23,988.33 | Facility | None | $398.11 | $10,964.78 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $691.83 | Professional | None (both parts) | $338.84 | $338.84 | $691.83 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $51.29 | $123.03 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $288.40 | $288.40 | $562.34 |
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 $165.96 Median $309.03 Typical High $588.84 | Professional | None (both parts) | $165.96 | $309.03 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $29.51 | $53.70 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $263.03 Typical High $512.86 | Professional | TC · Technical part | $158.49 | $263.03 | $512.86 |
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 $64.57 Median $77.62 Typical High $154.88 | Professional | 52 · Reduced service | $64.57 | $77.62 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.90 Typical High $61.66 | Professional | 53 · Discontinued | $26.30 | $30.90 | $61.66 |
Where New Jersey sits
The same service costs 9.1 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· 32nd of 51
$339
AK $891AL $97.72
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.