How much rates vary
Facilitymedian $331 · 10th to 90th $129 to $10,471Professionalmedian $148 · 10th to 90th $105 to $251
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 $128.82 Median $194.98 Typical High $1,096.48 | Facility | None | $128.82 | $194.98 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $22.39 | Facility | 26 · Professional part | $20.42 | $20.42 | $22.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $501.19 | Facility | TC · Technical part | $107.15 | $169.82 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $120.23 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $20.42 | $22.39 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $169.82 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $169.82 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $95.50 | $100.00 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $512.86 | Facility | None | $251.19 | $331.13 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $112.20 | $151.36 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.42 Typical High $43.65 | Professional | 26 · Professional part | $18.62 | $20.42 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $87.10 | $117.49 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $89.13 | $181.97 | $194.98 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $38.90 | Professional | 26 · Professional part | $27.54 | $34.67 | $38.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $173.78 | Professional | TC · Technical part | $120.23 | $158.49 | $173.78 |
Horizon BCBS Setting Facility Modifier None Typical Low $213.80 Median $446.68 Typical High $18,197.01 | Facility | None | $213.80 | $446.68 | $18,197.01 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $125.89 | $151.36 | $251.19 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $38.90 | Professional | 26 · Professional part | $22.91 | $27.54 | $38.90 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $104.71 | $125.89 | $213.80 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $93.33 | $123.03 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $21.38 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $199.53 | Professional | TC · Technical part | $75.86 | $102.33 | $199.53 |
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 $58.88 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $58.88 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $23.44 | $38.90 | $38.90 |
Where New Jersey sits
The same service costs 3.3 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· 33rd of 51
$151
AK $316UT $95.50
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.