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 $23.99 Median $56.23 Typical High $56.23 | Facility | None | $23.99 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $16.98 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $13.18 | $14.13 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $3.39 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $10.72 Typical High $190.55 | Facility | None | $8.71 | $10.72 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $17.78 Typical High $19.50 | Professional | None (both parts) | $15.14 | $17.78 | $19.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $14.45 | Professional | 26 · Professional part | $11.75 | $13.80 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.89 Typical High $4.27 | Professional | TC · Technical part | $3.31 | $3.89 | $4.27 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.92 Typical High $26.92 | Professional | None (both parts) | $20.89 | $26.92 | $26.92 |
Horizon BCBS Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $602.56 | Facility | None | $288.40 | $436.52 | $602.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $16.60 Median $17.38 Typical High $17.78 | Professional | None (both parts) | $16.60 | $17.38 | $17.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.13 Typical High $14.45 | Professional | 26 · Professional part | $13.49 | $14.13 | $14.45 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.24 Typical High $3.39 | Professional | TC · Technical part | $3.16 | $3.24 | $3.39 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $537.03 | Facility | None | $245.47 | $245.47 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $10.00 Median $12.59 Typical High $36.31 | Professional | None (both parts) | $10.00 | $12.59 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.55 Typical High $12.88 | Professional | 26 · Professional part | $7.76 | $9.55 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $2.14 Median $2.51 Typical High $22.91 | Professional | TC · Technical part | $2.14 | $2.51 | $22.91 |
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 $8.51 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $8.51 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $3.39 | $11.22 | $11.22 |
Where New Jersey sits
The same service costs 2.5 times more in California than in Texas. 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· 39th of 51
$17.78
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.