How much rates vary
Facilitymedian $676 · 10th to 90th $162 to $933Professionalmedian $204 · 10th to 90th $138 to $407
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 $162.18 Median $162.18 Typical High $269.15 | Facility | None | $162.18 | $162.18 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $162.18 | $162.18 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $42.66 | $42.66 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $117.49 | $117.49 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $446.68 | Professional | None (both parts) | $138.04 | $190.55 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $100.00 | Professional | 26 · Professional part | $30.90 | $43.65 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $346.74 | Professional | TC · Technical part | $107.15 | $144.54 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $295.12 | $389.05 | $389.05 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $74.13 | Professional | 26 · Professional part | $54.95 | $70.79 | $74.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $239.88 | $316.23 | $316.23 |
Horizon BCBS Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $1,000.00 | Facility | None | $478.63 | $724.44 | $1,000.00 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $457.09 | Professional | None (both parts) | $204.17 | $239.88 | $457.09 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $52.48 | $97.72 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $186.21 | $363.08 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $912.01 | Facility | None | $416.87 | $416.87 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $128.82 | $177.83 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $87.10 | Professional | 26 · Professional part | $25.70 | $37.15 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $309.03 | Professional | TC · Technical part | $107.15 | $141.25 | $309.03 |
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 $81.28 Median $81.28 Typical High $134.90 | Professional | 52 · Reduced service | $81.28 | $81.28 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $53.70 | Professional | 53 · Discontinued | $32.36 | $32.36 | $53.70 |
Where New Jersey sits
The same service costs 3.0 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· 45th of 51
$204
AK $513FL $174
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.