How much rates vary
Facilitymedian $851 · 10th to 90th $347 to $1,349Professionalmedian $316 · 10th to 90th $234 to $457
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $269.15 Median $354.81 Typical High $354.81 | Facility | None | $269.15 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $269.15 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $239.88 | $275.42 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $29.51 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $346.74 | Facility | None | $109.65 | $131.83 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $275.42 | $281.84 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $524.81 | Professional | 26 · Professional part | $229.09 | $229.09 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $120.23 | Professional | TC · Technical part | $45.71 | $50.12 | $120.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $416.87 Typical High $457.09 | Professional | None (both parts) | $380.19 | $416.87 | $457.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $346.74 Typical High $380.19 | Professional | 26 · Professional part | $309.03 | $346.74 | $380.19 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $81.28 | Professional | TC · Technical part | $64.57 | $74.13 | $81.28 |
Horizon BCBS Setting Facility Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,445.44 | Facility | None | $691.83 | $1,047.13 | $1,445.44 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $269.15 | $316.23 | $398.11 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $263.03 Typical High $323.59 | Professional | 26 · Professional part | $229.09 | $263.03 | $323.59 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $44.67 Typical High $70.79 | Professional | TC · Technical part | $38.90 | $44.67 | $70.79 |
United Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,288.25 | Facility | None | $588.84 | $588.84 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $213.80 | $281.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $213.80 Typical High $436.52 | Professional | 26 · Professional part | $177.83 | $213.80 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $43.65 Typical High $138.04 | Professional | TC · Technical part | $35.48 | $43.65 | $138.04 |
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 $134.90 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $134.90 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $53.70 | $70.79 | $70.79 |
Where New Jersey sits
The same service costs 3.3 times more in Minnesota 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· 36th of 51
$316
MN $661UT $200
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.