How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,122 to $14,125Professionalmedian $794 · 10th to 90th $372 to $8,128
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 $794.33 Median $8,128.31 Typical High $14,125.38 | Facility | None | $794.33 | $8,128.31 | $14,125.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $436.52 Median $446.68 Typical High $446.68 | Facility | 26 · Professional part | $436.52 | $446.68 | $446.68 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | TC · Technical part | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $660.69 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $436.52 Typical High $501.19 | Professional | 26 · Professional part | $371.54 | $436.52 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $288.40 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $6,606.93 Typical High $9,549.93 | Facility | None | $4,365.16 | $6,606.93 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $758.58 Typical High $1,548.82 | Professional | None (both parts) | $660.69 | $758.58 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $426.58 Typical High $851.14 | Professional | 26 · Professional part | $363.08 | $426.58 | $851.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $331.13 Typical High $707.95 | Professional | TC · Technical part | $295.12 | $331.13 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $10,964.78 Typical High $10,964.78 | Professional | None (both parts) | $831.76 | $10,964.78 | $10,964.78 |
Horizon BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $7,079.46 Typical High $31,622.78 | Facility | None | $3,801.89 | $7,079.46 | $31,622.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $3,388.44 | Professional | None (both parts) | $371.54 | $436.52 | $3,388.44 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $691.83 Typical High $1,258.93 | Professional | 26 · Professional part | $524.81 | $691.83 | $1,258.93 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $2,398.83 Typical High $10,715.19 | Professional | TC · Technical part | $457.09 | $2,398.83 | $10,715.19 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $4,786.30 Typical High $10,471.29 | Facility | None | $1,348.96 | $4,786.30 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,698.24 Typical High $11,481.54 | Professional | None (both parts) | $630.96 | $1,698.24 | $11,481.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $489.78 Typical High $1,000.00 | Professional | 26 · Professional part | $331.13 | $489.78 | $1,000.00 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $707.95 Typical High $10,964.78 | Professional | TC · Technical part | $263.03 | $707.95 | $10,964.78 |
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 $331.13 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $331.13 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $131.83 | $158.49 | $158.49 |
Where New Jersey sits
The same service costs 7.1 times more in Texas 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· 26th of 51
$1,230
TX $3,981HI $562
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.