How much rates vary
Facilitymedian $550 · 10th to 90th $63 to $1,585Professionalmedian $58 · 10th to 90th $38 to $81
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 $63.10 Median $67.61 Typical High $891.25 | Facility | None | $63.10 | $67.61 | $891.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $15.49 | Facility | 26 · Professional part | $12.88 | $12.88 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $51.29 | Facility | TC · Technical part | $50.12 | $50.12 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $75.86 | Professional | None (both parts) | $53.70 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $16.60 | Professional | 26 · Professional part | $11.48 | $15.49 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $58.88 | Professional | TC · Technical part | $42.66 | $51.29 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $44.67 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $11.22 | $11.22 | $11.22 |
AmeriHealth Setting Facility Modifier None Typical Low $630.96 Median $2,089.30 Typical High $2,691.53 | Facility | None | $630.96 | $2,089.30 | $2,691.53 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $123.03 | Professional | None (both parts) | $43.65 | $50.12 | $123.03 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.18 Typical High $30.20 | Professional | 26 · Professional part | $8.91 | $13.18 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $83.18 Typical High $288.40 | Facility | None | $69.18 | $83.18 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $46.77 | $50.12 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.02 Typical High $19.50 | Professional | 26 · Professional part | $11.75 | $12.02 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.02 Typical High $67.61 | Professional | TC · Technical part | $35.48 | $38.02 | $67.61 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $69.18 | Professional | None (both parts) | $52.48 | $67.61 | $69.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.49 Typical High $16.98 | Professional | 26 · Professional part | $12.02 | $15.49 | $16.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $39.81 | $52.48 | $52.48 |
Horizon BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,737.80 | Facility | None | $831.76 | $1,258.93 | $1,737.80 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $60.26 Typical High $83.18 | Professional | None (both parts) | $57.54 | $60.26 | $83.18 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $17.38 | Professional | 26 · Professional part | $12.02 | $12.88 | $17.38 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $63.10 | Professional | TC · Technical part | $44.67 | $47.86 | $63.10 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,548.82 | Facility | None | $724.44 | $724.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $32.36 | $41.69 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.55 Typical High $14.13 | Professional | 26 · Professional part | $7.41 | $9.55 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $47.86 | Professional | TC · Technical part | $25.12 | $32.36 | $47.86 |
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 $26.92 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $26.92 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $10.72 | $13.49 | $13.49 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 59 · Distinct service | $39.81 | $39.81 | $39.81 |
Where New Jersey sits
The same service costs 3.3 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· 25th of 51
$57.54
MN $105UT $31.62
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.