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 $37.15 Median $38.90 Typical High $112.20 | Facility | None | $37.15 | $38.90 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $29.51 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $13.49 | $13.49 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $15.85 | $25.12 | $25.12 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $22.91 Typical High $26.30 | Professional | None (both parts) | $19.95 | $22.91 | $26.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $12.59 | Professional | 26 · Professional part | $9.12 | $10.23 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $12.30 Typical High $13.80 | Professional | TC · Technical part | $10.96 | $12.30 | $13.80 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $39.81 | $52.48 | $52.48 |
Horizon BCBS Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $275.42 | Facility | None | $131.83 | $218.78 | $275.42 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $38.90 | Professional | None (both parts) | $33.11 | $35.48 | $38.90 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.60 Typical High $18.20 | Professional | 26 · Professional part | $15.49 | $16.60 | $18.20 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.05 Typical High $20.89 | Professional | TC · Technical part | $17.78 | $19.05 | $20.89 |
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 $17.78 Median $21.38 Typical High $30.90 | Professional | None (both parts) | $17.78 | $21.38 | $30.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $8.13 | $9.33 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $10.96 Typical High $19.05 | Professional | TC · Technical part | $9.77 | $10.96 | $19.05 |
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 $14.79 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $14.79 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $5.89 | $7.76 | $7.76 |
Where New Jersey sits
The same service costs 3.4 times more in Alaska than in New York. 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· 31st of 51
$33.11
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.