How much rates vary
Facilitymedian $48 · 10th to 90th $42 to $550Professionalmedian $43 · 10th to 90th $38 to $59
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 $41.69 Median $41.69 Typical High $47.86 | Facility | None | $41.69 | $41.69 | $47.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $12.88 | Facility | 26 · Professional part | $12.59 | $12.59 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $34.67 | Facility | TC · Technical part | $28.84 | $28.84 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $41.69 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $12.59 | $12.88 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $28.84 | $34.67 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $51.29 | Professional | None (both parts) | $45.71 | $45.71 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $93.33 | Facility | None | $77.62 | $77.62 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $47.86 | $51.29 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $19.05 | Professional | 26 · Professional part | $13.80 | $14.45 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $51.29 | Professional | TC · Technical part | $33.88 | $36.31 | $51.29 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $75.86 Typical High $77.62 | Professional | None (both parts) | $57.54 | $75.86 | $77.62 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $19.95 | Professional | 26 · Professional part | $14.45 | $18.62 | $19.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $57.54 | Professional | TC · Technical part | $42.66 | $56.23 | $57.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $288.40 Median $478.63 Typical High $602.56 | Facility | None | $288.40 | $478.63 | $602.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $39.81 | $42.66 | $60.26 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $17.38 | Professional | 26 · Professional part | $11.75 | $12.59 | $17.38 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $43.65 | Professional | TC · Technical part | $28.18 | $30.20 | $43.65 |
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 $34.67 Median $40.74 Typical High $50.12 | Professional | None (both parts) | $34.67 | $40.74 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $8.71 | $10.47 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $38.02 | Professional | TC · Technical part | $25.12 | $29.51 | $38.02 |
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 $20.89 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $20.89 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.32 | $9.55 | $9.55 |
Where New Jersey sits
The same service costs 2.9 times more in Alaska 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· 40th of 51
$42.66
AK $89.13UT $30.90
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.