How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,000 to $4,266Professionalmedian $1,000 · 10th to 90th $759 to $1,905
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 $1,000.00 Median $1,174.90 Typical High $4,570.88 | Facility | None | $1,000.00 | $1,174.90 | $4,570.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $131.83 | Facility | 26 · Professional part | $120.23 | $120.23 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $1,023.29 Typical High $2,951.21 | Facility | TC · Technical part | $870.96 | $1,023.29 | $2,951.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,174.90 Typical High $1,479.11 | Professional | None (both parts) | $933.25 | $1,174.90 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $131.83 Typical High $173.78 | Professional | 26 · Professional part | $114.82 | $131.83 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,023.29 Typical High $1,288.25 | Professional | TC · Technical part | $812.83 | $1,023.29 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Facility | None | $2,041.74 | $2,041.74 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,047.13 Typical High $2,630.27 | Professional | None (both parts) | $691.83 | $1,047.13 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $302.00 | Professional | 26 · Professional part | $85.11 | $128.82 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $912.01 Typical High $2,290.87 | Professional | TC · Technical part | $602.56 | $912.01 | $2,290.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,737.80 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,737.80 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $3,162.28 Typical High $3,981.07 | Facility | None | $1,905.46 | $3,162.28 | $3,981.07 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $891.25 Median $977.24 Typical High $2,137.96 | Professional | None (both parts) | $891.25 | $977.24 | $2,137.96 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $269.15 | Professional | 26 · Professional part | $104.71 | $123.03 | $269.15 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $812.83 Typical High $1,905.46 | Professional | TC · Technical part | $676.08 | $812.83 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,630.78 | Facility | None | $1,659.59 | $1,659.59 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $933.25 Typical High $1,905.46 | Professional | None (both parts) | $758.58 | $933.25 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $112.20 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $831.76 Typical High $1,659.59 | Professional | TC · Technical part | $660.69 | $831.76 | $1,659.59 |
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 $457.09 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $457.09 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $181.97 | $234.42 | $234.42 |
Where New Jersey sits
The same service costs 2.9 times more in Alaska 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· 39th of 51
$1,023
AK $2,138TX $741
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.