How much rates vary
Facilitymedian $2,884 · 10th to 90th $813 to $12,882Professionalmedian $174 · 10th to 90th $112 to $6,761
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 $4,365.16 Median $6,918.31 Typical High $12,882.50 | Facility | None | $4,365.16 | $6,918.31 | $12,882.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $147.91 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $128.82 | Professional | 26 · Professional part | $107.15 | $123.03 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $42.66 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $501.19 Typical High $2,511.89 | Facility | None | $102.33 | $501.19 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $354.81 | Professional | None (both parts) | $154.88 | $177.83 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $109.65 | $125.89 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $50.12 | $107.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $10,964.78 Typical High $10,964.78 | Professional | None (both parts) | $181.97 | $10,964.78 | $10,964.78 |
Horizon BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $7,413.10 Typical High $31,622.78 | Facility | None | $3,890.45 | $7,413.10 | $31,622.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $724.44 | Professional | None (both parts) | $112.20 | $131.83 | $724.44 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $199.53 Typical High $363.08 | Professional | 26 · Professional part | $147.91 | $199.53 | $363.08 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $691.83 Typical High $5,495.41 | Professional | TC · Technical part | $66.07 | $691.83 | $5,495.41 |
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 $144.54 Median $389.05 Typical High $10,715.19 | Professional | None (both parts) | $144.54 | $389.05 | $10,715.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $302.00 | Professional | 26 · Professional part | $97.72 | $144.54 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $89.13 Typical High $10,471.29 | Professional | TC · Technical part | $33.11 | $89.13 | $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 $74.13 Median $87.10 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $36.31 | Professional | 53 · Discontinued | $30.20 | $35.48 | $36.31 |
Where New Jersey sits
The same service costs 8.3 times more in Louisiana 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· 25th of 51
$275
LA $1,288HI $155
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.