How much rates vary
Facilitymedian $1,413 · 10th to 90th $240 to $8,710Professionalmedian $245 · 10th to 90th $219 to $427
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 $239.88 Median $263.03 Typical High $954.99 | Facility | None | $239.88 | $263.03 | $954.99 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $70.79 | Facility | 26 · Professional part | $67.61 | $67.61 | $70.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $489.78 | Facility | TC · Technical part | $169.82 | $194.98 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $213.80 | $239.88 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $61.66 | $70.79 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $169.82 Typical High $316.23 | Professional | TC · Technical part | $158.49 | $169.82 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $213.80 | Professional | None (both parts) | $177.83 | $190.55 | $213.80 |
AmeriHealth Setting Facility Modifier None Typical Low $724.44 Median $6,606.93 Typical High $12,302.69 | Facility | None | $724.44 | $6,606.93 | $12,302.69 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $549.54 Median $562.34 Typical High $630.96 | Professional | None (both parts) | $549.54 | $562.34 | $630.96 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $177.83 | Professional | 26 · Professional part | $70.79 | $107.15 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $2,398.83 Typical High $3,090.30 | Facility | None | $457.09 | $2,398.83 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $229.09 | $234.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $61.66 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $173.78 | $338.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $371.54 | Professional | None (both parts) | $263.03 | $346.74 | $371.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $97.72 | Professional | 26 · Professional part | $70.79 | $89.13 | $97.72 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $257.04 Typical High $275.42 | Professional | TC · Technical part | $194.98 | $257.04 | $275.42 |
Horizon BCBS Setting Facility Modifier None Typical Low $186.21 Median $1,513.56 Typical High $9,332.54 | Facility | None | $186.21 | $1,513.56 | $9,332.54 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $18,197.01 Typical High $27,542.29 | Facility | TC · Technical part | $489.78 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $229.09 | $275.42 | $389.05 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $58.88 | $70.79 | $95.50 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $173.78 | $204.17 | $281.84 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,290.87 | Facility | None | $1,047.13 | $1,047.13 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $194.98 | $257.04 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $72.44 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $144.54 | $190.55 | $338.84 |
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 $104.71 Median $120.23 Typical High $131.83 | Professional | 52 · Reduced service | $104.71 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $47.86 | $52.48 |
Where New Jersey sits
The same service costs 3.5 times more in Alaska 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· 37th of 51
$251
AK $562UT $158
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.