How much rates vary
Facilitymedian $955 · 10th to 90th $123 to $1,950Professionalmedian $117 · 10th to 90th $107 to $174
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 $123.03 Median $123.03 Typical High $131.83 | Facility | None | $123.03 | $123.03 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $234.42 | Facility | TC · Technical part | $60.26 | $60.26 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $123.03 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $60.26 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $954.99 Typical High $1,230.27 | Facility | None | $165.96 | $954.99 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $107.15 | $109.65 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $52.48 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $57.54 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $57.54 | $128.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $194.98 | Professional | None (both parts) | $158.49 | $177.83 | $194.98 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $89.13 | Professional | 26 · Professional part | $72.44 | $79.43 | $89.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $107.15 | Professional | TC · Technical part | $83.18 | $97.72 | $107.15 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,659.59 Typical High $2,089.30 | Facility | None | $1,000.00 | $1,659.59 | $2,089.30 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $107.15 | $114.82 | $158.49 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $53.70 | $57.54 | $75.86 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $83.18 | Professional | TC · Technical part | $52.48 | $56.23 | $83.18 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,862.09 | Facility | None | $851.14 | $851.14 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $102.33 | $125.89 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $57.54 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $67.61 | $123.03 |
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 $60.26 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $24.55 | $26.30 | $26.30 |
Where New Jersey sits
The same service costs 3.8 times more in Minnesota than in Utah. 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
$117
MN $269UT $70.79
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.