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 $45.71 Median $66.07 Typical High $66.07 | Facility | None | $45.71 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $45.71 | $45.71 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $12.88 | Professional | 26 · Professional part | $8.51 | $8.51 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $36.31 | $36.31 | $52.48 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $33.11 | Professional | None (both parts) | $29.51 | $29.51 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $74.13 | Professional | None (both parts) | $40.74 | $40.74 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $15.14 | Professional | 26 · Professional part | $7.76 | $7.76 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | TC · Technical part | $33.11 | $33.11 | $57.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $40.74 | $51.29 | $51.29 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,659.59 Typical High $2,089.30 | Facility | None | $1,000.00 | $1,659.59 | $2,089.30 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $70.79 | Professional | None (both parts) | $60.26 | $64.57 | $70.79 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $14.13 | Professional | 26 · Professional part | $12.02 | $13.18 | $14.13 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $56.23 | Professional | TC · Technical part | $47.86 | $51.29 | $56.23 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,862.09 | Facility | None | $851.14 | $851.14 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $22.91 Typical High $60.26 | Professional | None (both parts) | $17.38 | $22.91 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $10.00 | Professional | 26 · Professional part | $6.76 | $7.59 | $10.00 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $13.80 Typical High $40.74 | Professional | TC · Technical part | $10.47 | $13.80 | $40.74 |
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 $22.91 Median $22.91 Typical High $33.11 | Professional | 52 · Reduced service | $22.91 | $22.91 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $13.18 | Professional | 53 · Discontinued | $9.12 | $9.12 | $13.18 |
Where New Jersey sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 43rd of 51
$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.