How much rates vary
Facilitymedian $2,818 · 10th to 90th $200 to $19,498Professionalmedian $269 · 10th to 90th $178 to $427
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 $199.53 Median $199.53 Typical High $3,467.37 | Facility | None | $199.53 | $199.53 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $190.55 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $91.20 | $95.50 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $107.15 | Professional | TC · Technical part | $97.72 | $104.71 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,818.38 Typical High $3,090.30 | Facility | None | $524.81 | $2,818.38 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $173.78 | $186.21 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $87.10 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $97.72 | $199.53 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $323.59 Typical High $436.52 | Professional | None (both parts) | $295.12 | $323.59 | $436.52 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $138.04 | Professional | 26 · Professional part | $100.00 | $128.82 | $138.04 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $190.55 | $199.53 | $302.00 |
Horizon BCBS Setting Facility Modifier None Typical Low $147.91 Median $13,803.84 Typical High $19,952.62 | Facility | None | $147.91 | $13,803.84 | $19,952.62 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $302.00 | $354.81 | $512.86 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $102.33 | $151.36 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $363.08 | Professional | TC · Technical part | $213.80 | $257.04 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $190.55 | $295.12 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $100.00 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $426.58 | Professional | TC · Technical part | $114.82 | $186.21 | $426.58 |
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 $95.50 Median $100.00 Typical High $104.71 | Professional | 52 · Reduced service | $95.50 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $41.69 | Professional | 53 · Discontinued | $38.02 | $39.81 | $41.69 |
Where New Jersey sits
The same service costs 3.1 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· 24th of 51
$269
AK $537NY $174
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.