How much rates vary
Facilitymedian $1,660 · 10th to 90th $263 to $10,965Professionalmedian $245 · 10th to 90th $162 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 $251.19 Median $8,511.38 Typical High $14,125.38 | Facility | None | $251.19 | $8,511.38 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $208.93 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $177.83 Typical High $251.19 | Professional | 26 · Professional part | $158.49 | $177.83 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $74.13 | Professional | TC · Technical part | $53.70 | $66.07 | $74.13 |
AmeriHealth Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $114,815.36 | Facility | None | $436.52 | $575.44 | $114,815.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $218.78 | $251.19 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $186.21 Typical High $371.54 | Professional | 26 · Professional part | $162.18 | $186.21 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $63.10 | $141.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $10,471.29 Typical High $10,471.29 | Professional | None (both parts) | $2,454.71 | $10,471.29 | $10,471.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $1,047.13 | Professional | None (both parts) | $162.18 | $190.55 | $1,047.13 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $288.40 Typical High $524.81 | Professional | 26 · Professional part | $213.80 | $288.40 | $524.81 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $977.24 Typical High $10,964.78 | Professional | TC · Technical part | $85.11 | $977.24 | $10,964.78 |
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 $208.93 Median $2,290.87 Typical High $10,964.78 | Professional | None (both parts) | $208.93 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $208.93 Typical High $446.68 | Professional | 26 · Professional part | $123.03 | $208.93 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $1,862.09 Typical High $10,715.19 | Professional | TC · Technical part | $54.95 | $1,862.09 | $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 $104.71 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $104.71 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $50.12 | Professional | 53 · Discontinued | $42.66 | $48.98 | $50.12 |
Where New Jersey sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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
$331
WI $1,047MD $229
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.