How much rates vary
Facilitymedian $1,479 · 10th to 90th $191 to $6,918Professionalmedian $174 · 10th to 90th $71 to $363
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 $173.78 Median $4,570.88 Typical High $11,748.98 | Facility | None | $173.78 | $4,570.88 | $11,748.98 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $83.18 | Facility | 26 · Professional part | $77.62 | $77.62 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $107.15 | Facility | TC · Technical part | $95.50 | $95.50 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $154.88 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $83.18 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $112.20 | Professional | TC · Technical part | $85.11 | $107.15 | $112.20 |
AmeriHealth Setting Facility Modifier None Typical Low $144.54 Median $186.21 Typical High $316.23 | Facility | None | $144.54 | $186.21 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $158.49 | $181.97 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $70.79 | $83.18 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $100.00 | $213.80 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $204.17 | $229.09 | $288.40 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $338.84 | Professional | None (both parts) | $70.79 | $85.11 | $338.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $134.90 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $134.90 | $218.78 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $117.49 | $316.23 | $501.19 |
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 $134.90 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $134.90 | $204.17 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $194.98 | Professional | 26 · Professional part | $64.57 | $95.50 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $69.18 | $107.15 | $218.78 |
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 $77.62 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $38.02 | $38.02 |
Where New Jersey sits
The same service costs 4.3 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· 37th of 51
$191
WI $562HI $132
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.