How much rates vary
Facilitymedian $372 · 10th to 90th $83 to $575Professionalmedian $129 · 10th to 90th $31 to $224
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 $30.90 Median $83.18 Typical High $134.90 | Facility | None | $30.90 | $83.18 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $83.18 Typical High $154.88 | Professional | None (both parts) | $30.90 | $83.18 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $20.89 Typical High $50.12 | Professional | 26 · Professional part | $7.41 | $20.89 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $58.88 Typical High $112.20 | Professional | TC · Technical part | $20.89 | $58.88 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $72.44 | $128.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $70.79 | Professional | 26 · Professional part | $19.05 | $30.20 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $97.72 Typical High $186.21 | Professional | TC · Technical part | $53.70 | $97.72 | $186.21 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $79.43 | $93.33 | $162.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $36.31 | Professional | 26 · Professional part | $26.30 | $33.88 | $36.31 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $181.97 | Professional | TC · Technical part | $134.90 | $177.83 | $181.97 |
Horizon BCBS Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $616.60 | Facility | None | $295.12 | $446.68 | $616.60 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $154.88 | $181.97 | $251.19 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $52.48 | $81.28 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $109.65 | $128.82 | $181.97 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $93.33 Typical High $245.47 | Professional | None (both parts) | $40.74 | $93.33 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $29.51 Typical High $74.13 | Professional | 26 · Professional part | $12.30 | $29.51 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $194.98 | Professional | TC · Technical part | $60.26 | $85.11 | $194.98 |
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 $15.49 Median $41.69 Typical High $67.61 | Professional | 52 · Reduced service | $15.49 | $41.69 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $16.60 Typical High $26.92 | Professional | 53 · Discontinued | $6.17 | $16.60 | $26.92 |
Where New Jersey sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 42nd of 51
$129
AK $363IN $69.18
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.