How much rates vary
Facilitymedian $1,660 · 10th to 90th $219 to $10,965Professionalmedian $170 · 10th to 90th $112 to $7,762
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 $169.82 Median $8,128.31 Typical High $14,125.38 | Facility | None | $169.82 | $8,128.31 | $14,125.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $123.03 Median $125.89 Typical High $125.89 | Facility | 26 · Professional part | $123.03 | $125.89 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $45.71 | Facility | TC · Technical part | $44.67 | $44.67 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $144.54 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $123.03 Typical High $141.25 | Professional | 26 · Professional part | $77.62 | $123.03 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $47.86 | Professional | TC · Technical part | $37.15 | $45.71 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $346.74 | Professional | None (both parts) | $123.03 | $138.04 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $257.04 | Professional | 26 · Professional part | $89.13 | $102.33 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $35.48 Typical High $93.33 | Professional | TC · Technical part | $31.62 | $35.48 | $93.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $10,471.29 Typical High $10,471.29 | Professional | None (both parts) | $2,187.76 | $10,471.29 | $10,471.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $707.95 | Professional | None (both parts) | $109.65 | $131.83 | $707.95 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $194.98 Typical High $338.84 | Professional | 26 · Professional part | $123.03 | $194.98 | $338.84 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $691.83 Typical High $11,220.18 | Professional | TC · Technical part | $57.54 | $691.83 | $11,220.18 |
United Setting Facility Modifier None Typical Low $309.03 Median $1,348.96 Typical High $3,981.07 | Facility | None | $309.03 | $1,348.96 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $2,238.72 Typical High $10,964.78 | Professional | None (both parts) | $151.36 | $2,238.72 | $10,964.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $117.49 Typical High $295.12 | Professional | 26 · Professional part | $72.44 | $117.49 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $1,905.46 Typical High $10,715.19 | Professional | TC · Technical part | $40.74 | $1,905.46 | $10,715.19 |
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 $72.44 Median $85.11 Typical High $87.10 | Professional | 52 · Reduced service | $72.44 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.88 Typical High $34.67 | Professional | 53 · Discontinued | $28.84 | $33.88 | $34.67 |
Where New Jersey sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 32nd of 51
$240
TN $2,344SC $126
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.