How much rates vary
Facilitymedian $182 · 10th to 90th $45 to $302Professionalmedian $33 · 10th to 90th $30 to $60
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 $33.11 Median $44.67 Typical High $3,467.37 | Facility | None | $33.11 | $44.67 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $33.11 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $13.18 | $13.49 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $19.95 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $54.95 Typical High $151.36 | Facility | None | $45.71 | $54.95 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $29.51 Typical High $79.43 | Professional | None (both parts) | $28.84 | $29.51 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $26.30 | Professional | 26 · Professional part | $11.75 | $11.75 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $52.48 | Professional | TC · Technical part | $16.98 | $17.78 | $52.48 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $56.23 | Professional | None (both parts) | $45.71 | $51.29 | $56.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.62 Typical High $20.42 | Professional | 26 · Professional part | $16.60 | $18.62 | $20.42 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $36.31 | Professional | TC · Technical part | $28.18 | $33.11 | $36.31 |
Horizon BCBS Setting Facility Modifier None Typical Low $131.83 Median $199.53 Typical High $275.42 | Facility | None | $131.83 | $199.53 | $275.42 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $31.62 Typical High $41.69 | Professional | None (both parts) | $29.51 | $31.62 | $41.69 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $11.75 | $12.59 | $16.98 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.05 Typical High $25.12 | Professional | TC · Technical part | $17.78 | $19.05 | $25.12 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $245.47 | Facility | None | $112.20 | $112.20 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $29.51 | $39.81 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $13.49 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.99 Typical High $52.48 | Professional | TC · Technical part | $17.78 | $23.99 | $52.48 |
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 $16.60 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $16.60 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $6.61 | $8.91 | $8.91 |
Where New Jersey sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 41st of 51
$33.11
MN $74.13AL $28.18
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.