How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,445 to $18,621Professionalmedian $1,148 · 10th to 90th $813 to $8,318
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 $954.99 Median $8,128.31 Typical High $14,125.38 | Facility | None | $954.99 | $8,128.31 | $14,125.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $676.08 Median $707.95 Typical High $707.95 | Facility | 26 · Professional part | $676.08 | $707.95 | $707.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | TC · Technical part | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $933.25 Typical High $1,949.84 | Professional | None (both parts) | $794.33 | $933.25 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $676.08 Typical High $1,148.15 | Professional | 26 · Professional part | $602.56 | $676.08 | $1,148.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $316.23 | Professional | TC · Technical part | $199.53 | $251.19 | $316.23 |
AmeriHealth Setting Facility Modifier None Typical Low $6,309.57 Median $14,791.08 Typical High $42,657.95 | Facility | None | $6,309.57 | $14,791.08 | $42,657.95 |
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 $794.33 Median $912.01 Typical High $1,862.09 | Professional | None (both parts) | $794.33 | $912.01 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $691.83 Typical High $1,380.38 | Professional | 26 · Professional part | $588.84 | $691.83 | $1,380.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $501.19 | Professional | TC · Technical part | $208.93 | $234.42 | $501.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $10,964.78 Typical High $10,964.78 | Professional | None (both parts) | $1,096.48 | $10,964.78 | $10,964.78 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $10,715.19 Typical High $31,622.78 | Facility | None | $5,623.41 | $10,715.19 | $31,622.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,288.25 Typical High $3,548.13 | Professional | None (both parts) | $1,096.48 | $1,288.25 | $3,548.13 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $707.95 Typical High $1,621.81 | Professional | 26 · Professional part | $602.56 | $707.95 | $1,621.81 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $588.84 Typical High $2,570.40 | Professional | TC · Technical part | $501.19 | $588.84 | $2,570.40 |
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 $1,000.00 Median $2,951.21 Typical High $11,481.54 | Professional | None (both parts) | $1,000.00 | $2,951.21 | $11,481.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $776.25 Typical High $1,621.81 | Professional | 26 · Professional part | $524.81 | $776.25 | $1,621.81 |
United Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $1,348.96 Typical High $10,471.29 | Professional | TC · Technical part | $426.58 | $1,348.96 | $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 $398.11 Median $467.74 Typical High $478.63 | Professional | 52 · Reduced service | $398.11 | $467.74 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $186.21 Typical High $190.55 | Professional | 53 · Discontinued | $158.49 | $186.21 | $190.55 |
Where New Jersey sits
The same service costs 5.2 times more in Louisiana 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· 11th of 51
$2,188
LA $4,677NY $891
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.