How much rates vary
Facilitymedian $1,122 · 10th to 90th $234 to $3,090Professionalmedian $219 · 10th to 90th $145 to $372
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 $234.42 Median $269.15 Typical High $1,698.24 | Facility | None | $234.42 | $269.15 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $83.18 | Facility | 26 · Professional part | $75.86 | $75.86 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $436.52 | Facility | TC · Technical part | $147.91 | $190.55 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $199.53 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $69.18 | $83.18 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $128.82 | $147.91 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $25.12 | $64.57 | $97.72 |
AmeriHealth Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $602.56 | Professional | None (both parts) | $239.88 | $436.52 | $602.56 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $112.20 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $2,398.83 Typical High $3,090.30 | Facility | None | $338.84 | $2,398.83 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $194.98 Typical High $407.38 | Professional | None (both parts) | $190.55 | $194.98 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $69.18 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $275.42 | Professional | TC · Technical part | $123.03 | $128.82 | $275.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $123.03 | $190.55 | $288.40 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $79.43 | $100.00 | $109.65 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $204.17 | Professional | TC · Technical part | $141.25 | $186.21 | $204.17 |
Horizon BCBS Setting Facility Modifier None Typical Low $154.88 Median $1,862.09 Typical High $10,471.29 | Facility | None | $154.88 | $1,862.09 | $10,471.29 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $18,197.01 Typical High $27,542.29 | Facility | TC · Technical part | $1,071.52 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $186.21 | $223.87 | $338.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $66.07 | $79.43 | $104.71 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $120.23 | $144.54 | $204.17 |
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 $131.83 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $131.83 | $165.96 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $77.62 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $89.13 | $138.04 | $251.19 |
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 $107.15 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $46.77 | $53.70 |
Where New Jersey sits
The same service costs 3.9 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· 33rd of 51
$219
AK $468UT $120
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.