How much rates vary
Facilitymedian $355 · 10th to 90th $71 to $562Professionalmedian $71 · 10th to 90th $58 to $117
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $57.54 Median $57.54 Typical High $70.79 | Facility | None | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | None (both parts) | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $19.50 | $19.95 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $38.02 | $38.02 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $234.42 | Facility | None | $144.54 | $173.78 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $81.28 Typical High $114.82 | Professional | None (both parts) | $70.79 | $81.28 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $30.90 | Professional | 26 · Professional part | $19.95 | $20.89 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $83.18 | Professional | TC · Technical part | $52.48 | $61.66 | $83.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $181.97 | Professional | None (both parts) | $134.90 | $177.83 | $181.97 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $37.15 | Professional | 26 · Professional part | $26.92 | $34.67 | $37.15 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $109.65 | $144.54 | $144.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $602.56 | Facility | None | $288.40 | $436.52 | $602.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $70.79 Typical High $104.71 | Professional | None (both parts) | $64.57 | $70.79 | $104.71 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.62 Typical High $26.92 | Professional | 26 · Professional part | $17.38 | $18.62 | $26.92 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $75.86 | Professional | TC · Technical part | $47.86 | $51.29 | $75.86 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $537.03 | Facility | None | $245.47 | $245.47 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $50.12 | $91.20 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $15.49 | $17.78 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $74.13 Typical High $95.50 | Professional | TC · Technical part | $36.31 | $74.13 | $95.50 |
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 $28.84 Median $28.84 Typical High $35.48 | Professional | 52 · Reduced service | $28.84 | $28.84 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $14.13 | Professional | 53 · Discontinued | $11.48 | $11.48 | $14.13 |
Where New Jersey sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 40th of 51
$70.79
ND $186KY $53.70
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.