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 $20.89 Median $52.48 Typical High $52.48 | Facility | None | $20.89 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $15.85 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.02 | $12.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $3.16 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $10.72 Typical High $186.21 | Facility | None | $8.71 | $10.72 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $16.60 Typical High $18.62 | Professional | None (both parts) | $14.13 | $16.60 | $18.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $13.18 | Professional | 26 · Professional part | $10.96 | $12.88 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.89 Typical High $4.07 | Professional | TC · Technical part | $3.31 | $3.89 | $4.07 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $19.95 | $25.12 | $25.12 |
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 $15.49 Median $16.22 Typical High $16.98 | Professional | None (both parts) | $15.49 | $16.22 | $16.98 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $13.49 | Professional | 26 · Professional part | $12.30 | $13.18 | $13.49 |
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 $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 $9.33 Median $12.02 Typical High $33.88 | Professional | None (both parts) | $9.33 | $12.02 | $33.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $12.02 | Professional | 26 · Professional part | $7.24 | $8.71 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $2.14 Median $2.51 Typical High $21.88 | Professional | TC · Technical part | $2.14 | $2.51 | $21.88 |
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 $7.94 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $7.94 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $3.16 | $10.47 | $10.47 |
Where New Jersey sits
The same service costs 2.6 times more in California than in New York. 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· 40th of 51
$16.60
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.