How much rates vary
Facilitymedian $219 · 10th to 90th $37 to $1,259Professionalmedian $37 · 10th to 90th $27 to $66
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 $37.15 Median $37.15 Typical High $229.09 | Facility | None | $37.15 | $37.15 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $15.49 | Facility | 26 · Professional part | $14.45 | $14.45 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $24.55 | Facility | TC · Technical part | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $39.81 Typical High $47.86 | Professional | None (both parts) | $28.84 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.49 Typical High $17.78 | Professional | 26 · Professional part | $10.96 | $15.49 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $31.62 | Professional | TC · Technical part | $18.62 | $24.55 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $41.69 | Professional | None (both parts) | $30.90 | $30.90 | $41.69 |
AmeriHealth Setting Facility Modifier None Typical Low $114.82 Median $223.87 Typical High $1,862.09 | Facility | None | $114.82 | $223.87 | $1,862.09 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $30.20 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $30.20 | $58.88 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.20 Typical High $70.79 | Professional | None (both parts) | $25.12 | $30.20 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $25.70 | Professional | 26 · Professional part | $8.13 | $10.47 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.05 Typical High $46.77 | Professional | TC · Technical part | $16.98 | $19.05 | $46.77 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $40.74 | $52.48 | $52.48 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $16.98 | Professional | 26 · Professional part | $12.88 | $16.60 | $16.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $27.54 | $36.31 | $36.31 |
Horizon BCBS Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $602.56 | Facility | None | $288.40 | $436.52 | $602.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $36.31 | $38.90 | $69.18 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $25.70 | Professional | 26 · Professional part | $12.88 | $14.13 | $25.70 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $22.91 | $25.12 | $44.67 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $537.03 | Facility | None | $245.47 | $245.47 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $69.18 | Professional | None (both parts) | $25.12 | $32.36 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.75 Typical High $25.12 | Professional | 26 · Professional part | $7.76 | $11.75 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $22.39 | $45.71 |
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 $13.80 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $13.80 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $5.50 | $8.13 | $8.13 |
Where New Jersey sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 37th of 51
$37.15
AK $83.18FL $30.90
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.