How much rates vary
Facilitymedian $468 · 10th to 90th $95 to $1,698Professionalmedian $107 · 10th to 90th $79 to $132
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $95.50 Median $107.15 Typical High $107.15 | Facility | None | $95.50 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $15.49 | Facility | 26 · Professional part | $15.14 | $15.14 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $93.33 | Facility | TC · Technical part | $79.43 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $95.50 | $95.50 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $15.85 | Professional | 26 · Professional part | $13.80 | $15.49 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $79.43 | $79.43 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
AmeriHealth Setting Facility Modifier None Typical Low $295.12 Median $1,230.27 Typical High $2,041.74 | Facility | None | $295.12 | $1,230.27 | $2,041.74 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $467.74 | Facility | None | $281.84 | $338.84 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $112.20 | $131.83 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $15.49 | Professional | 26 · Professional part | $12.30 | $14.45 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $100.00 | $117.49 | $117.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $162.18 | $213.80 | $213.80 |
Horizon BCBS Setting Facility Modifier None Typical Low $288.40 Median $478.63 Typical High $602.56 | Facility | None | $288.40 | $478.63 | $602.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $120.23 | Professional | None (both parts) | $109.65 | $114.82 | $120.23 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $15.14 | Professional | 26 · Professional part | $14.13 | $14.79 | $15.14 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $104.71 | Professional | TC · Technical part | $97.72 | $100.00 | $104.71 |
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 $72.44 Median $83.18 Typical High $112.20 | Professional | None (both parts) | $72.44 | $83.18 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $13.49 | Professional | 26 · Professional part | $8.13 | $10.23 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $100.00 | Professional | TC · Technical part | $63.10 | $75.86 | $100.00 |
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 $46.77 Median $46.77 Typical High $56.23 | Professional | 52 · Reduced service | $46.77 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $19.05 | $22.39 |
Where New Jersey sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 35th of 51
$110
AK $245FL $81.28
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.