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 $51.29 Median $51.29 Typical High $112.20 | Facility | None | $51.29 | $51.29 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $51.29 Typical High $54.95 | Professional | None (both parts) | $41.69 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $23.99 | Professional | 26 · Professional part | $16.60 | $16.60 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $23.44 | $34.67 | $34.67 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $37.15 | Professional | None (both parts) | $28.18 | $31.62 | $37.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.49 Typical High $16.60 | Professional | 26 · Professional part | $12.02 | $13.49 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.62 Typical High $20.42 | Professional | TC · Technical part | $16.22 | $18.62 | $20.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $56.23 | $74.13 | $74.13 |
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 $46.77 Median $50.12 Typical High $54.95 | Professional | None (both parts) | $46.77 | $50.12 | $54.95 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $23.99 | Professional | 26 · Professional part | $20.42 | $22.39 | $23.99 |
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 $25.12 Median $29.51 Typical High $40.74 | Professional | None (both parts) | $25.12 | $29.51 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $15.85 | Professional | 26 · Professional part | $10.47 | $12.59 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.60 Typical High $26.92 | Professional | TC · Technical part | $14.79 | $16.60 | $26.92 |
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 $20.89 Median $25.70 Typical High $26.30 | Professional | 52 · Reduced service | $20.89 | $25.70 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $10.23 Typical High $10.72 | Professional | 53 · Discontinued | $8.32 | $10.23 | $10.72 |
Where New Jersey sits
The same service costs 3.4 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· 34th of 51
$46.77
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.