How much rates vary
Facilitymedian $437 · 10th to 90th $269 to $1,096Professionalmedian $427 · 10th to 90th $269 to $871
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 $269.15 Median $416.87 Typical High $933.25 | Facility | None | $269.15 | $416.87 | $933.25 |
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 $213.80 Median $363.08 Typical High $363.08 | Facility | TC · Technical part | $213.80 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $645.65 | Professional | None (both parts) | $269.15 | $371.54 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $52.48 | $57.54 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $549.54 | Professional | TC · Technical part | $213.80 | $323.59 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $407.38 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $407.38 | $446.68 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
AmeriHealth Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $436.52 Median $630.96 Typical High $1,445.44 | Professional | None (both parts) | $436.52 | $630.96 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,445.44 | Facility | None | $954.99 | $1,148.15 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $1,096.48 | Professional | None (both parts) | $309.03 | $363.08 | $1,096.48 |
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 $269.15 Median $316.23 Typical High $954.99 | Professional | TC · Technical part | $269.15 | $316.23 | $954.99 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | None (both parts) | $758.58 | $758.58 | $831.76 |
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 $426.58 Median $467.74 Typical High $977.24 | Professional | None (both parts) | $426.58 | $467.74 | $977.24 |
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 $323.59 Median $389.05 Typical High $870.96 | Professional | TC · Technical part | $323.59 | $389.05 | $870.96 |
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 $302.00 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $302.00 | $436.52 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $52.48 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $812.83 | Professional | TC · Technical part | $263.03 | $380.19 | $812.83 |
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 $134.90 Median $134.90 Typical High $208.93 | Professional | 52 · Reduced service | $134.90 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $85.11 | Professional | 53 · Discontinued | $53.70 | $53.70 | $85.11 |
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
$427
AK $933NM $309
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.