How much rates vary
Facilitymedian $5,495 · 10th to 90th $513 to $14,125Professionalmedian $389 · 10th to 90th $331 to $617
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 $436.52 Median $8,128.31 Typical High $14,125.38 | Facility | None | $436.52 | $8,128.31 | $14,125.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $281.84 | Facility | 26 · Professional part | $263.03 | $263.03 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $229.09 | Facility | TC · Technical part | $169.82 | $169.82 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $389.05 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $263.03 | $281.84 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $138.04 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $234.42 Typical High $1,174.90 | Facility | None | $194.98 | $234.42 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $331.13 Typical High $794.33 | Professional | None (both parts) | $323.59 | $331.13 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $562.34 | Professional | 26 · Professional part | $239.88 | $239.88 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $269.15 | Professional | TC · Technical part | $85.11 | $87.10 | $269.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $501.19 Typical High $575.44 | Professional | None (both parts) | $457.09 | $501.19 | $575.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $371.54 Typical High $426.58 | Professional | 26 · Professional part | $338.84 | $371.54 | $426.58 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $131.83 Typical High $144.54 | Professional | TC · Technical part | $114.82 | $131.83 | $144.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $4,073.80 Typical High $5,754.40 | Facility | None | $2,691.53 | $4,073.80 | $5,754.40 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $380.19 Typical High $467.74 | Professional | None (both parts) | $331.13 | $380.19 | $467.74 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $281.84 Typical High $346.74 | Professional | 26 · Professional part | $245.47 | $281.84 | $346.74 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $125.89 | Professional | TC · Technical part | $85.11 | $97.72 | $125.89 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $5,128.61 Typical High $31,622.78 | Facility | None | $1,905.46 | $5,128.61 | $31,622.78 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $316.23 | $426.58 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $269.15 Typical High $524.81 | Professional | 26 · Professional part | $239.88 | $269.15 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $288.40 | Professional | TC · Technical part | $81.28 | $109.65 | $288.40 |
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 $194.98 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $194.98 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $79.43 | $102.33 | $102.33 |
Where New Jersey sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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· 39th of 51
$389
WI $813UT $240
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.