How much rates vary
Facilitymedian $1,479 · 10th to 90th $282 to $7,762Professionalmedian $324 · 10th to 90th $263 to $646
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 $281.84 Median $4,786.30 Typical High $12,589.25 | Facility | None | $281.84 | $4,786.30 | $12,589.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $102.33 | Facility | 26 · Professional part | $95.50 | $95.50 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $208.93 | Facility | TC · Technical part | $190.55 | $190.55 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $257.04 | $316.23 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $102.33 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $169.82 | $208.93 | $263.03 |
AmeriHealth Setting Facility Modifier None Typical Low $575.44 Median $776.25 Typical High $12,589.25 | Facility | None | $575.44 | $776.25 | $12,589.25 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $138.04 Typical High $245.47 | Professional | 26 · Professional part | $109.65 | $138.04 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $295.12 Typical High $630.96 | Professional | None (both parts) | $263.03 | $295.12 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $208.93 | Professional | 26 · Professional part | $89.13 | $104.71 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $416.87 | Professional | TC · Technical part | $177.83 | $199.53 | $416.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $380.19 Typical High $489.78 | Professional | None (both parts) | $346.74 | $380.19 | $489.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $346.74 Typical High $776.25 | Professional | None (both parts) | $316.23 | $346.74 | $776.25 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $104.71 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $104.71 | $223.87 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $245.47 Typical High $549.54 | Professional | TC · Technical part | $223.87 | $245.47 | $549.54 |
United Setting Facility Modifier None Typical Low $309.03 Median $1,380.38 Typical High $3,890.45 | Facility | None | $309.03 | $1,380.38 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $354.81 Typical High $794.33 | Professional | None (both parts) | $223.87 | $354.81 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $239.88 | Professional | 26 · Professional part | $81.28 | $120.23 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $141.25 | $234.42 | $562.34 |
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 $128.82 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $51.29 | $63.10 | $63.10 |
Where New Jersey sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 28th of 51
$347
WI $891HI $138
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.