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 $56.23 Median $56.23 Typical High $81.28 | Facility | None | $56.23 | $56.23 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | None (both parts) | $56.23 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $29.51 | $29.51 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $38.02 | Professional | TC · Technical part | $26.30 | $26.30 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $58.88 Typical High $67.61 | Professional | None (both parts) | $51.29 | $58.88 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $34.67 | Professional | 26 · Professional part | $26.30 | $29.51 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $29.51 Typical High $31.62 | Professional | TC · Technical part | $25.70 | $29.51 | $31.62 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $35.48 | $74.13 | $138.04 |
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 $83.18 Median $87.10 Typical High $91.20 | Professional | None (both parts) | $83.18 | $87.10 | $91.20 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $46.77 | Professional | 26 · Professional part | $43.65 | $45.71 | $46.77 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $43.65 | Professional | TC · Technical part | $39.81 | $41.69 | $43.65 |
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 $46.77 Median $52.48 Typical High $66.07 | Professional | None (both parts) | $46.77 | $52.48 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $23.44 | $26.92 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $32.36 | Professional | TC · Technical part | $23.44 | $25.70 | $32.36 |
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 $28.18 Median $28.18 Typical High $40.74 | Professional | 52 · Reduced service | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | 53 · Discontinued | $11.22 | $11.22 | $16.22 |
Where New Jersey sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 51st of 51
$61.66
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.