How much rates vary
Facilitymedian $195 · 10th to 90th $71 to $339Professionalmedian $46 · 10th to 90th $36 to $72
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 $41.69 Median $70.79 Typical High $70.79 | Facility | None | $41.69 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $70.79 | Professional | None (both parts) | $41.69 | $41.69 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $26.30 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $28.84 | Professional | TC · Technical part | $15.49 | $15.49 | $28.84 |
AmeriHealth Setting Facility Modifier None Typical Low $165.96 Median $239.88 Typical High $389.05 | Facility | None | $165.96 | $239.88 | $389.05 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $48.98 | Professional | None (both parts) | $37.15 | $42.66 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $29.51 | Professional | 26 · Professional part | $20.89 | $23.99 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.62 Typical High $19.95 | Professional | TC · Technical part | $16.22 | $18.62 | $19.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $75.86 | $100.00 | $100.00 |
Horizon BCBS Setting Facility Modifier None Typical Low $131.83 Median $199.53 Typical High $275.42 | Facility | None | $131.83 | $199.53 | $275.42 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $72.44 | Professional | None (both parts) | $61.66 | $67.61 | $72.44 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $38.90 | $42.66 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $30.90 | Professional | TC · Technical part | $26.30 | $28.18 | $30.90 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $245.47 | Facility | None | $112.20 | $112.20 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $47.86 | Professional | None (both parts) | $33.88 | $38.02 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $27.54 | Professional | 26 · Professional part | $18.62 | $21.88 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.60 Typical High $20.42 | Professional | TC · Technical part | $14.45 | $16.60 | $20.42 |
3 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 $20.89 Median $20.89 Typical High $34.67 | Professional | 52 · Reduced service | $20.89 | $20.89 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $14.13 | Professional | 53 · Discontinued | $8.32 | $8.32 | $14.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 59 · Distinct service | $67.61 | $67.61 | $67.61 |
Where New Jersey sits
The same service costs 3.7 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· 50th of 51
$46.77
AK $170FL $45.71
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.