How much rates vary
Facilitymedian $162 · 10th to 90th $63 to $1,585Professionalmedian $71 · 10th to 90th $63 to $126
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 $63.10 Median $63.10 Typical High $89.13 | Facility | None | $63.10 | $63.10 | $89.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $44.67 | Facility | 26 · Professional part | $40.74 | $40.74 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $75.86 | Facility | TC · Technical part | $22.39 | $25.70 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $95.50 | Professional | None (both parts) | $63.10 | $70.79 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $44.67 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $52.48 | Professional | TC · Technical part | $22.39 | $25.70 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $75.86 | $77.62 | $93.33 |
AmeriHealth Setting Facility Modifier None Typical Low $257.04 Median $912.01 Typical High $1,698.24 | Facility | None | $257.04 | $912.01 | $1,698.24 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $89.13 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $89.13 | $158.49 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $144.54 | Facility | None | $100.00 | $120.23 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $75.86 | $83.18 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $36.31 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $30.20 | $47.86 | $69.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $109.65 | $120.23 | $131.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $54.95 | $60.26 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $72.44 | Professional | TC · Technical part | $57.54 | $66.07 | $72.44 |
Horizon BCBS Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $173.78 | Facility | None | $83.18 | $125.89 | $173.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $69.18 | $74.13 | $112.20 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $36.31 | $38.90 | $51.29 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $33.11 | $34.67 | $51.29 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $154.88 | Facility | None | $72.44 | $72.44 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $57.54 | $67.61 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $36.31 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $35.48 Typical High $63.10 | Professional | TC · Technical part | $20.89 | $35.48 | $63.10 |
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 $31.62 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $31.62 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $12.59 | $14.13 | $14.13 |
Where New Jersey sits
The same service costs 3.4 times more in Alaska than in New York. 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· 44th of 51
$70.79
AK $182NY $53.70
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.