How much rates vary
Facilitymedian $389 · 10th to 90th $126 to $11,220Professionalmedian $141 · 10th to 90th $100 to $240
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 $117.49 Median $213.80 Typical High $851.14 | Facility | None | $117.49 | $213.80 | $851.14 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $26.30 | Facility | 26 · Professional part | $22.39 | $25.12 | $26.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $331.13 | Facility | TC · Technical part | $95.50 | $117.49 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $117.49 | $141.25 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $38.90 | Professional | 26 · Professional part | $20.42 | $25.12 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $117.49 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $141.25 | Professional | None (both parts) | $87.10 | $107.15 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $33.88 Typical High $35.48 | Professional | 26 · Professional part | $16.22 | $33.88 | $35.48 |
AmeriHealth Setting Facility Modifier None Typical Low $549.54 Median $8,511.38 Typical High $16,218.10 | Facility | None | $549.54 | $8,511.38 | $16,218.10 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $2,187.76 Typical High $4,073.80 | Facility | TC · Technical part | $549.54 | $2,187.76 | $4,073.80 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $131.83 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $131.83 | $281.84 | $389.05 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.39 Typical High $57.54 | Professional | 26 · Professional part | $18.62 | $22.39 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $501.19 | Facility | None | $239.88 | $323.59 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $107.15 | $141.25 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $40.74 | Professional | 26 · Professional part | $16.60 | $19.95 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $234.42 | Professional | TC · Technical part | $85.11 | $112.20 | $234.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $138.04 | $181.97 | $199.53 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $33.11 | Professional | 26 · Professional part | $23.99 | $30.20 | $33.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $165.96 | Professional | TC · Technical part | $114.82 | $151.36 | $165.96 |
Horizon BCBS Setting Facility Modifier None Typical Low $213.80 Median $457.09 Typical High $19,498.45 | Facility | None | $213.80 | $457.09 | $19,498.45 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $120.23 | $144.54 | $229.09 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $24.55 | $39.81 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $120.23 | $190.55 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $87.10 | $117.49 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $38.90 | Professional | 26 · Professional part | $14.79 | $19.50 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $97.72 | $194.98 |
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 $53.70 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $28.18 | $28.18 |
Where New Jersey sits
The same service costs 4.0 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· 30th of 51
$141
MN $380UT $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.