How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,585 to $16,218Professionalmedian $513 · 10th to 90th $295 to $1,230
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 $4,466.84 Median $9,772.37 Typical High $14,125.38 | Facility | None | $4,466.84 | $9,772.37 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $537.03 Typical High $549.54 | Professional | None (both parts) | $512.86 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 26 · Professional part | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $316.23 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $446.68 Typical High $1,047.13 | Professional | None (both parts) | $436.52 | $446.68 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $169.82 Typical High $398.11 | Professional | 26 · Professional part | $165.96 | $169.82 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $645.65 | Professional | TC · Technical part | $269.15 | $281.84 | $645.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $676.08 | $1,659.59 | $1,659.59 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $257.04 Typical High $295.12 | Professional | 26 · Professional part | $239.88 | $257.04 | $295.12 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $436.52 | $1,412.54 | $1,412.54 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $295.12 | $316.23 | $549.54 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $173.78 Typical High $239.88 | Professional | 26 · Professional part | $165.96 | $173.78 | $239.88 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $257.04 | Professional | TC · Technical part | $125.89 | $131.83 | $257.04 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,548.13 Typical High $31,622.78 | Facility | None | $1,258.93 | $3,548.13 | $31,622.78 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $1,047.13 Typical High $1,445.44 | Professional | None (both parts) | $354.81 | $1,047.13 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $186.21 Typical High $389.05 | Professional | 26 · Professional part | $165.96 | $186.21 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $933.25 Typical High $1,230.27 | Professional | TC · Technical part | $162.18 | $933.25 | $1,230.27 |
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 $257.04 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $257.04 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $107.15 Typical High $109.65 | Professional | 53 · Discontinued | $102.33 | $107.15 | $109.65 |
Where New Jersey sits
The same service costs 3.0 times more in Wisconsin than in North 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· 30th of 51
$537
WI $1,000NC $331
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.