How much rates vary
Facilitymedian $562 · 10th to 90th $145 to $11,749Professionalmedian $155 · 10th to 90th $112 to $275
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 $144.54 Median $218.78 Typical High $831.76 | Facility | None | $144.54 | $218.78 | $831.76 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $25.12 | Facility | 26 · Professional part | $21.88 | $21.88 | $25.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $562.34 | Facility | TC · Technical part | $123.03 | $194.98 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $257.04 | Professional | None (both parts) | $134.90 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $25.12 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $194.98 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $194.98 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $199.53 | Professional | None (both parts) | $100.00 | $123.03 | $199.53 |
AmeriHealth Setting Facility Modifier None Typical Low $501.19 Median $7,762.47 Typical High $13,489.63 | Facility | None | $501.19 | $7,762.47 | $13,489.63 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $125.89 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $125.89 | $251.19 | $426.58 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $50.12 | Professional | 26 · Professional part | $18.62 | $18.62 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $346.74 Typical High $562.34 | Facility | None | $269.15 | $346.74 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $117.49 | $158.49 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $40.74 | Professional | 26 · Professional part | $16.98 | $19.95 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $263.03 | Professional | TC · Technical part | $91.20 | $120.23 | $263.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $208.93 Typical High $229.09 | Professional | None (both parts) | $134.90 | $208.93 | $229.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $21.38 | $31.62 | $36.31 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $194.98 | Professional | TC · Technical part | $114.82 | $177.83 | $194.98 |
Horizon BCBS Setting Facility Modifier None Typical Low $478.63 Median $933.25 Typical High $18,197.01 | Facility | None | $478.63 | $933.25 | $18,197.01 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $131.83 | $158.49 | $281.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $38.02 | Professional | 26 · Professional part | $19.95 | $24.55 | $38.02 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $134.90 | $245.47 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $912.01 | Facility | None | $416.87 | $416.87 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $100.00 | $128.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.50 Typical High $38.90 | Professional | 26 · Professional part | $15.49 | $19.50 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $107.15 | $218.78 |
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 $63.10 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $63.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $25.12 | $43.65 | $43.65 |
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
$158
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.