How much rates vary
Facilitymedian $550 · 10th to 90th $195 to $2,291Professionalmedian $214 · 10th to 90th $158 to $389
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 $194.98 Median $426.58 Typical High $1,096.48 | Facility | None | $194.98 | $426.58 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $41.69 | Facility | 26 · Professional part | $34.67 | $38.02 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $524.81 | Facility | TC · Technical part | $158.49 | $181.97 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $194.98 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $38.02 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $316.23 | Professional | TC · Technical part | $158.49 | $181.97 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $144.54 | $177.83 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $67.61 | Professional | 26 · Professional part | $26.92 | $29.51 | $67.61 |
AmeriHealth Setting Facility Modifier None Typical Low $912.01 Median $1,698.24 Typical High $17,782.79 | Facility | None | $912.01 | $1,698.24 | $17,782.79 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $794.33 Median $3,090.30 Typical High $5,623.41 | Facility | TC · Technical part | $794.33 | $3,090.30 | $5,623.41 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $186.21 Median $309.03 Typical High $616.60 | Professional | None (both parts) | $186.21 | $309.03 | $616.60 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $89.13 | Professional | 26 · Professional part | $28.84 | $34.67 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $794.33 | Facility | None | $380.19 | $512.86 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $169.82 | $223.87 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $30.90 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $169.82 | $363.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $316.23 | Professional | None (both parts) | $218.78 | $288.40 | $316.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $52.48 | Professional | 26 · Professional part | $38.02 | $47.86 | $52.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $263.03 | Professional | TC · Technical part | $181.97 | $239.88 | $263.03 |
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 $194.98 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $194.98 | $234.42 | $363.08 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $38.02 | $60.26 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $162.18 | $194.98 | $309.03 |
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 $138.04 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $138.04 | $186.21 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $60.26 | Professional | 26 · Professional part | $23.44 | $30.20 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $309.03 | Professional | TC · Technical part | $114.82 | $154.88 | $309.03 |
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 $83.18 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $83.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $33.11 | $44.67 | $44.67 |
Where New Jersey sits
The same service costs 3.5 times more in Minnesota 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
$219
MN $550UT $158
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.