How much rates vary
Facilitymedian $1,514 · 10th to 90th $148 to $4,365Professionalmedian $166 · 10th to 90th $141 to $295
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 $147.91 Median $177.83 Typical High $177.83 | Facility | None | $147.91 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $39.81 | Facility | 26 · Professional part | $38.90 | $38.90 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $316.23 | Facility | TC · Technical part | $109.65 | $138.04 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $141.25 | $147.91 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $39.81 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $109.65 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $109.65 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
AmeriHealth Setting Facility Modifier None Typical Low $380.19 Median $2,630.27 Typical High $5,011.87 | Facility | None | $380.19 | $2,630.27 | $5,011.87 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $87.10 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $2,398.83 Typical High $3,090.30 | Facility | None | $346.74 | $2,398.83 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $147.91 | $165.96 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $35.48 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $239.88 | Professional | TC · Technical part | $109.65 | $131.83 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $263.03 | Professional | None (both parts) | $181.97 | $239.88 | $263.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $40.74 | $51.29 | $56.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $204.17 | Professional | TC · Technical part | $144.54 | $190.55 | $204.17 |
Horizon BCBS Setting Facility Modifier None Typical Low $138.04 Median $1,513.56 Typical High $6,165.95 | Facility | None | $138.04 | $1,513.56 | $6,165.95 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $1,659.59 Median $18,197.01 Typical High $27,542.29 | Facility | TC · Technical part | $1,659.59 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $158.49 | $190.55 | $257.04 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $40.74 | $61.66 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $190.55 | Professional | TC · Technical part | $125.89 | $144.54 | $190.55 |
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 $117.49 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $117.49 | $173.78 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $41.69 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $91.20 | $138.04 | $239.88 |
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 $69.18 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $29.51 Typical High $35.48 | Professional | 53 · Discontinued | $27.54 | $29.51 | $35.48 |
Where New Jersey sits
The same service costs 3.0 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· 35th of 51
$170
AK $380UT $129
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.