How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,047.13 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,047.13 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,096.48 Typical High $1,122.02 | Professional | None (both parts) | $933.25 | $1,096.48 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $104.71 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $831.76 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,238.72 | Facility | None | $1,862.09 | $1,862.09 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $870.96 Typical High $2,041.74 | Professional | None (both parts) | $794.33 | $870.96 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $239.88 | Professional | 26 · Professional part | $93.33 | $112.20 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $776.25 Typical High $1,778.28 | Professional | TC · Technical part | $691.83 | $776.25 | $1,778.28 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,174.90 | $1,548.82 | $1,548.82 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $190.55 Typical High $194.98 | Professional | 26 · Professional part | $147.91 | $190.55 | $194.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,348.96 Typical High $1,348.96 | Professional | TC · Technical part | $1,023.29 | $1,348.96 | $1,348.96 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $4,365.16 | Facility | None | $2,089.30 | $3,388.44 | $4,365.16 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,096.48 Typical High $1,778.28 | Professional | None (both parts) | $933.25 | $1,096.48 | $1,778.28 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $213.80 | Professional | 26 · Professional part | $114.82 | $134.90 | $213.80 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $977.24 Typical High $1,412.54 | Professional | TC · Technical part | $831.76 | $977.24 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,890.45 | Facility | None | $1,778.28 | $1,778.28 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $954.99 Typical High $1,949.84 | Professional | None (both parts) | $741.31 | $954.99 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $234.42 | Professional | 26 · Professional part | $91.20 | $117.49 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $851.14 Typical High $1,737.80 | Professional | TC · Technical part | $645.65 | $851.14 | $1,737.80 |
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 $467.74 Median $549.54 Typical High $562.34 | Professional | 52 · Reduced service | $467.74 | $549.54 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $218.78 Typical High $223.87 | Professional | 53 · Discontinued | $190.55 | $218.78 | $223.87 |
Where New Jersey sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 30th of 51
$1,047
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.