How much rates vary
Facilitymedian $2,344 · 10th to 90th $525 to $17,783Professionalmedian $347 · 10th to 90th $251 to $776
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 $323.59 Median $323.59 Typical High $3,467.37 | Facility | None | $323.59 | $323.59 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $676.08 | Professional | None (both parts) | $323.59 | $323.59 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $154.88 Typical High $173.78 | Professional | 26 · Professional part | $120.23 | $154.88 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $630.96 | Professional | TC · Technical part | $169.82 | $169.82 | $630.96 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $323.59 Typical High $380.19 | Professional | 26 · Professional part | $138.04 | $323.59 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $2,398.83 Typical High $3,090.30 | Facility | None | $354.81 | $2,398.83 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $245.47 | $281.84 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $257.04 | Professional | 26 · Professional part | $120.23 | $128.82 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $295.12 | Professional | TC · Technical part | $125.89 | $141.25 | $295.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $338.84 | $1,071.52 | $1,071.52 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $186.21 Typical High $199.53 | Professional | 26 · Professional part | $144.54 | $186.21 | $199.53 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $891.25 Typical High $891.25 | Professional | TC · Technical part | $190.55 | $891.25 | $891.25 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $19,952.62 | Facility | None | $1,047.13 | $2,344.23 | $19,952.62 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $912.01 | Professional | None (both parts) | $331.13 | $398.11 | $912.01 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $229.09 | Professional | 26 · Professional part | $120.23 | $141.25 | $229.09 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $691.83 | Professional | TC · Technical part | $213.80 | $251.19 | $691.83 |
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 $223.87 Median $371.54 Typical High $1,047.13 | Professional | None (both parts) | $223.87 | $371.54 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $147.91 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $870.96 | Professional | TC · Technical part | $114.82 | $194.98 | $870.96 |
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 $162.18 Median $162.18 Typical High $331.13 | Professional | 52 · Reduced service | $162.18 | $162.18 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $131.83 | Professional | 53 · Discontinued | $64.57 | $64.57 | $131.83 |
Where New Jersey sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 49th of 51
$347
AK $1,000WA $324
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.