How much rates vary
Facilitymedian $85 · 10th to 90th $78 to $251Professionalmedian $78 · 10th to 90th $58 to $102
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 $77.62 Median $77.62 Typical High $85.11 | Facility | None | $77.62 | $77.62 | $85.11 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $25.12 | Facility | 26 · Professional part | $23.44 | $23.44 | $25.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $58.88 | Facility | TC · Technical part | $53.70 | $53.70 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $77.62 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $23.44 | $25.12 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $53.70 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $125.89 | Facility | None | $104.71 | $104.71 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $87.10 Typical High $120.23 | Professional | None (both parts) | $81.28 | $87.10 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $26.92 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $83.18 | Professional | TC · Technical part | $57.54 | $61.66 | $83.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $107.15 | Professional | None (both parts) | $79.43 | $104.71 | $107.15 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $33.88 | Professional | 26 · Professional part | $25.12 | $31.62 | $33.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $75.86 | Professional | TC · Technical part | $54.95 | $72.44 | $75.86 |
Horizon BCBS Setting Facility Modifier None Typical Low $131.83 Median $199.53 Typical High $275.42 | Facility | None | $131.83 | $199.53 | $275.42 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $70.79 | $77.62 | $112.20 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $32.36 | Professional | 26 · Professional part | $21.38 | $22.91 | $32.36 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $81.28 | Professional | TC · Technical part | $50.12 | $54.95 | $81.28 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $245.47 | Facility | None | $112.20 | $112.20 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $81.28 | Professional | None (both parts) | $48.98 | $64.57 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.05 Typical High $23.99 | Professional | 26 · Professional part | $15.14 | $19.05 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $44.67 | $56.23 |
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 $38.90 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $38.90 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $15.49 | $16.98 | $16.98 |
Where New Jersey sits
The same service costs 4.9 times more in Nebraska 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
$77.62
NE $155UT $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.