How much rates vary
Facilitymedian $724 · 10th to 90th $240 to $10,471Professionalmedian $269 · 10th to 90th $219 to $513
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 $234.42 Median $245.47 Typical High $1,023.29 | Facility | None | $234.42 | $245.47 | $1,023.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $51.29 | Facility | 26 · Professional part | $47.86 | $47.86 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $199.53 Typical High $537.03 | Facility | TC · Technical part | $181.97 | $199.53 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $489.78 | Professional | None (both parts) | $223.87 | $234.42 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $51.29 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $181.97 Typical High $398.11 | Professional | TC · Technical part | $177.83 | $181.97 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $257.04 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $257.04 | $416.87 | $660.69 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $40.74 | $83.18 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $741.31 Typical High $1,096.48 | Facility | None | $562.34 | $741.31 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $229.09 | $309.03 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $41.69 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $489.78 | Professional | TC · Technical part | $190.55 | $239.88 | $489.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $323.59 | $426.58 | $457.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $53.70 | $67.61 | $74.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $354.81 Typical High $389.05 | Professional | TC · Technical part | $269.15 | $354.81 | $389.05 |
Horizon BCBS Setting Facility Modifier None Typical Low $489.78 Median $1,023.29 Typical High $18,197.01 | Facility | None | $489.78 | $1,023.29 | $18,197.01 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $269.15 | $323.59 | $489.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $52.48 | $81.28 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $275.42 Typical High $398.11 | Professional | TC · Technical part | $223.87 | $275.42 | $398.11 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $199.53 | $263.03 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $85.11 | Professional | 26 · Professional part | $33.11 | $41.69 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $218.78 | $436.52 |
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 $89.13 Median $117.49 Typical High $125.89 | Professional | 52 · Reduced service | $89.13 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $46.77 Typical High $50.12 | Professional | 53 · Discontinued | $35.48 | $46.77 | $50.12 |
Where New Jersey sits
The same service costs 3.0 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· 44th of 51
$269
AK $646UT $214
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.