How much rates vary
Facilitymedian $3,548 · 10th to 90th $977 to $13,804Professionalmedian $224 · 10th to 90th $191 to $7,244
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 $4,466.84 Median $9,332.54 Typical High $14,125.38 | Facility | None | $4,466.84 | $9,332.54 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $223.87 | Professional | None (both parts) | $181.97 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $128.82 | Professional | 26 · Professional part | $109.65 | $123.03 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $74.13 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,511.89 | Facility | None | $177.83 | $524.81 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $190.55 | $213.80 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $257.04 | Professional | 26 · Professional part | $112.20 | $128.82 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $190.55 | Professional | TC · Technical part | $79.43 | $87.10 | $190.55 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $10,964.78 Typical High $10,964.78 | Professional | None (both parts) | $229.09 | $10,964.78 | $10,964.78 |
Horizon BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $6,309.57 Typical High $31,622.78 | Facility | None | $3,311.31 | $6,309.57 | $31,622.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $616.60 | Professional | None (both parts) | $190.55 | $229.09 | $616.60 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $295.12 | Professional | 26 · Professional part | $114.82 | $134.90 | $295.12 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $363.08 | Professional | TC · Technical part | $79.43 | $93.33 | $363.08 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $5,754.40 | Facility | None | $707.95 | $1,995.26 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $524.81 Typical High $10,715.19 | Professional | None (both parts) | $186.21 | $524.81 | $10,715.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $147.91 Typical High $309.03 | Professional | 26 · Professional part | $100.00 | $147.91 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $213.80 Typical High $10,471.29 | Professional | TC · Technical part | $75.86 | $213.80 | $10,471.29 |
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 $91.20 Median $107.15 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $42.66 | $44.67 |
Where New Jersey sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 10th of 51
$479
OK $4,786HI $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.