How much rates vary
Facilitymedian $380 · 10th to 90th $37 to $1,000Professionalmedian $35 · 10th to 90th $26 to $49
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 $37.15 Median $38.02 Typical High $794.33 | Facility | None | $37.15 | $38.02 | $794.33 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.91 | Facility | 26 · Professional part | $8.32 | $8.32 | $8.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $29.51 | Facility | TC · Technical part | $28.84 | $28.84 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $44.67 | Professional | None (both parts) | $32.36 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $10.72 | Professional | 26 · Professional part | $8.32 | $8.91 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $34.67 | Professional | TC · Technical part | $25.12 | $29.51 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $23.99 | $30.90 | $53.70 |
AmeriHealth Setting Facility Modifier None Typical Low $346.74 Median $2,041.74 Typical High $2,691.53 | Facility | None | $346.74 | $2,041.74 | $2,691.53 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $1,148.15 Typical High $2,137.96 | Facility | TC · Technical part | $128.82 | $1,148.15 | $2,137.96 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $75.86 | Professional | None (both parts) | $27.54 | $27.54 | $75.86 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.12 Typical High $21.88 | Professional | 26 · Professional part | $7.24 | $9.12 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $54.95 Typical High $165.96 | Facility | None | $45.71 | $54.95 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $32.36 | $33.88 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $12.88 | Professional | 26 · Professional part | $9.12 | $9.77 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $22.91 | $24.55 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $47.86 | Professional | None (both parts) | $35.48 | $46.77 | $47.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $13.80 | Professional | 26 · Professional part | $9.77 | $12.59 | $13.80 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $25.70 | $33.88 | $33.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $1,000.00 | Facility | None | $478.63 | $724.44 | $1,000.00 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.02 Typical High $48.98 | Professional | None (both parts) | $34.67 | $38.02 | $48.98 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.32 Typical High $11.75 | Professional | 26 · Professional part | $7.76 | $8.32 | $11.75 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.18 Typical High $38.02 | Professional | TC · Technical part | $26.92 | $28.18 | $38.02 |
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 $21.88 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $21.88 | $28.18 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.08 Typical High $9.12 | Professional | 26 · Professional part | $5.89 | $7.08 | $9.12 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.89 Typical High $27.54 | Professional | TC · Technical part | $16.22 | $20.89 | $27.54 |
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 $16.22 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $16.22 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $6.46 | $7.59 | $7.59 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | 59 · Distinct service | $30.20 | $35.48 | $35.48 |
Where New Jersey sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 29th of 51
$34.67
MN $67.61TX $26.92
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.