How much rates vary
Facilitymedian $295 · 10th to 90th $93 to $9,772Professionalmedian $98 · 10th to 90th $69 to $178
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 $93.33 Median $141.25 Typical High $724.44 | Facility | None | $93.33 | $141.25 | $724.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $13.49 | Facility | 26 · Professional part | $11.75 | $11.75 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $128.82 Typical High $380.19 | Facility | TC · Technical part | $81.28 | $128.82 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $85.11 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $22.39 | Professional | 26 · Professional part | $11.48 | $13.49 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $128.82 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $128.82 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $81.28 | Professional | None (both parts) | $60.26 | $75.86 | $81.28 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $81.28 | $123.03 | $263.03 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $10.96 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $363.08 | Facility | None | $173.78 | $229.09 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $72.44 | $100.00 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $22.39 | Professional | 26 · Professional part | $9.33 | $10.96 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $169.82 | Professional | TC · Technical part | $60.26 | $79.43 | $169.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $100.00 | $131.83 | $144.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $19.50 | Professional | 26 · Professional part | $13.80 | $17.38 | $19.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $123.03 | Professional | TC · Technical part | $87.10 | $112.20 | $123.03 |
Horizon BCBS Setting Facility Modifier None Typical Low $269.15 Median $575.44 Typical High $19,498.45 | Facility | None | $269.15 | $575.44 | $19,498.45 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $85.11 | $102.33 | $181.97 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.80 Typical High $21.38 | Professional | 26 · Professional part | $11.48 | $13.80 | $21.38 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $87.10 | $162.18 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $63.10 | $81.28 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $11.22 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $144.54 | Professional | TC · Technical part | $53.70 | $70.79 | $144.54 |
3 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 $39.81 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $39.81 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $16.22 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $100.00 Typical High $100.00 | Professional | 59 · Distinct service | $67.61 | $100.00 | $100.00 |
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· 32nd of 51
$100
AK $209UT $63.10
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.