How much rates vary
Facilitymedian $447 · 10th to 90th $275 to $955Professionalmedian $331 · 10th to 90th $275 to $692
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 $275.42 Median $446.68 Typical High $758.58 | Facility | None | $275.42 | $446.68 | $758.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $389.05 Typical High $389.05 | Facility | TC · Technical part | $218.78 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $275.42 | $309.03 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $57.54 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $218.78 | $263.03 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $354.81 | $354.81 | $501.19 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $1,122.02 | Professional | None (both parts) | $331.13 | $331.13 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $851.14 Typical High $1,412.54 | Facility | None | $707.95 | $851.14 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $851.14 | Professional | None (both parts) | $251.19 | $275.42 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $134.90 | Professional | 26 · Professional part | $38.90 | $52.48 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $234.42 Typical High $707.95 | Professional | TC · Technical part | $213.80 | $234.42 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $602.56 Typical High $660.69 | Professional | None (both parts) | $575.44 | $602.56 | $660.69 |
Horizon BCBS Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $1,000.00 | Facility | None | $478.63 | $724.44 | $1,000.00 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $776.25 | Professional | None (both parts) | $323.59 | $354.81 | $776.25 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $56.23 | $123.03 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $630.96 | Professional | TC · Technical part | $229.09 | $281.84 | $630.96 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $912.01 | Facility | None | $416.87 | $416.87 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $691.83 | Professional | None (both parts) | $269.15 | $331.13 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $53.70 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $588.84 | Professional | TC · Technical part | $229.09 | $281.84 | $588.84 |
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 $138.04 Median $138.04 Typical High $223.87 | Professional | 52 · Reduced service | $138.04 | $138.04 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $89.13 | Professional | 53 · Discontinued | $54.95 | $54.95 | $89.13 |
Where New Jersey sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 43rd of 51
$331
AK $776NM $240
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.