How much rates vary
Facilitymedian $479 · 10th to 90th $251 to $955Professionalmedian $363 · 10th to 90th $251 to $741
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 $251.19 Median $371.54 Typical High $602.56 | Facility | None | $251.19 | $371.54 | $602.56 |
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 $194.98 Median $309.03 Typical High $309.03 | Facility | TC · Technical part | $194.98 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $562.34 | Professional | None (both parts) | $251.19 | $323.59 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $57.54 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $194.98 | $275.42 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $281.84 | $338.84 | $398.11 |
AmeriHealth Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $1,122.02 | Professional | None (both parts) | $363.08 | $363.08 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $977.24 Typical High $1,288.25 | Facility | None | $812.83 | $977.24 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $912.01 | Professional | None (both parts) | $263.03 | $309.03 | $912.01 |
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 $223.87 Median $263.03 Typical High $776.25 | Professional | TC · Technical part | $223.87 | $263.03 | $776.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $707.95 | Professional | None (both parts) | $645.65 | $645.65 | $707.95 |
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 $363.08 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $363.08 | $389.05 | $812.83 |
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 $263.03 Median $316.23 Typical High $724.44 | Professional | TC · Technical part | $263.03 | $316.23 | $724.44 |
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 $371.54 Typical High $776.25 | Professional | None (both parts) | $269.15 | $371.54 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $114.82 | Professional | 26 · Professional part | $39.81 | $52.48 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $660.69 | Professional | TC · Technical part | $223.87 | $316.23 | $660.69 |
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 $125.89 Median $125.89 Typical High $181.97 | Professional | 52 · Reduced service | $125.89 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $74.13 | Professional | 53 · Discontinued | $50.12 | $50.12 | $74.13 |
Where New Jersey sits
The same service costs 3.0 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· 39th of 51
$372
AK $794NM $269
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.