How much rates vary
Facilitymedian $813 · 10th to 90th $240 to $35,481Professionalmedian $251 · 10th to 90th $200 to $490
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 $213.80 Median $316.23 Typical High $1,096.48 | Facility | None | $213.80 | $316.23 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $39.81 | Facility | 26 · Professional part | $31.62 | $39.81 | $39.81 |
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 $213.80 Median $229.09 Typical High $489.78 | Professional | None (both parts) | $213.80 | $229.09 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $34.67 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $407.38 | Professional | TC · Technical part | $181.97 | $194.98 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $208.93 | $229.09 | $229.09 |
AmeriHealth Setting Facility Modifier None Typical Low $741.31 Median $28,840.32 Typical High $51,286.14 | Facility | None | $741.31 | $28,840.32 | $51,286.14 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $239.88 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $239.88 | $407.38 | $707.95 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $32.36 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $676.08 Typical High $1,023.29 | Facility | None | $501.19 | $676.08 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $208.93 | $281.84 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $31.62 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $467.74 | Professional | TC · Technical part | $173.78 | $229.09 | $467.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $407.38 | Professional | None (both parts) | $281.84 | $371.54 | $407.38 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $54.95 | $60.26 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $316.23 Typical High $346.74 | Professional | TC · Technical part | $239.88 | $316.23 | $346.74 |
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 $251.19 Median $302.00 Typical High $446.68 | Professional | None (both parts) | $251.19 | $302.00 | $446.68 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $35.48 | $42.66 | $64.57 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $213.80 | $257.04 | $380.19 |
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 $177.83 Median $239.88 Typical High $489.78 | Professional | None (both parts) | $177.83 | $239.88 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $33.11 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $416.87 | Professional | TC · Technical part | $151.36 | $204.17 | $416.87 |
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 $95.50 Median $107.15 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $42.66 Typical High $47.86 | Professional | 53 · Discontinued | $38.02 | $42.66 | $47.86 |
Where New Jersey sits
The same service costs 3.2 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· 42nd of 51
$251
AK $603UT $191
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.