How much rates vary
Facilitymedian $3,311 · 10th to 90th $741 to $23,988Professionalmedian $224 · 10th to 90th $191 to $347
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 $316.23 Median $331.13 Typical High $22,387.21 | Facility | None | $316.23 | $331.13 | $22,387.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $331.13 | Professional | None (both parts) | $257.04 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $199.53 Typical High $208.93 | Professional | 26 · Professional part | $169.82 | $199.53 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $120.23 | Professional | TC · Technical part | $95.50 | $117.49 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $144.54 | Facility | None | $120.23 | $120.23 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $537.03 | Professional | None (both parts) | $190.55 | $190.55 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $138.04 Typical High $371.54 | Professional | 26 · Professional part | $134.90 | $138.04 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $54.95 Typical High $169.82 | Professional | TC · Technical part | $53.70 | $54.95 | $169.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $288.40 Typical High $309.03 | Professional | None (both parts) | $257.04 | $288.40 | $309.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $208.93 Typical High $229.09 | Professional | 26 · Professional part | $186.21 | $208.93 | $229.09 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $69.18 | $79.43 | $87.10 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $208.93 | $223.87 | $275.42 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $162.18 Typical High $199.53 | Professional | 26 · Professional part | $151.36 | $162.18 | $199.53 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $77.62 | Professional | TC · Technical part | $56.23 | $63.10 | $77.62 |
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 $186.21 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $186.21 | $245.47 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $177.83 Typical High $323.59 | Professional | 26 · Professional part | $134.90 | $177.83 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $134.90 | Professional | TC · Technical part | $50.12 | $67.61 | $134.90 |
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 $128.82 Median $158.49 Typical High $165.96 | Professional | 52 · Reduced service | $128.82 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $63.10 Typical High $66.07 | Professional | 53 · Discontinued | $51.29 | $63.10 | $66.07 |
Where New Jersey sits
The same service costs 3.5 times more in Alaska 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· 38th of 51
$224
AK $468UT $132
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.