How much rates vary
Facilitymedian $257 · 10th to 90th $132 to $1,148Professionalmedian $166 · 10th to 90th $129 to $324
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 $131.83 Median $169.82 Typical High $1,148.15 | Facility | None | $131.83 | $169.82 | $1,148.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $85.11 | Facility | 26 · Professional part | $81.28 | $81.28 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $89.13 Typical High $89.13 | Facility | TC · Technical part | $45.71 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $131.83 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $74.13 | $85.11 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $114.82 | Professional | TC · Technical part | $45.71 | $51.29 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $186.21 | Professional | 26 · Professional part | $70.79 | $70.79 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $288.40 | Facility | None | $190.55 | $229.09 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $398.11 | Professional | None (both parts) | $117.49 | $128.82 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $190.55 | Professional | 26 · Professional part | $56.23 | $75.86 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $208.93 | Professional | TC · Technical part | $57.54 | $69.18 | $208.93 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | None (both parts) | $251.19 | $251.19 | $275.42 |
Horizon BCBS Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $616.60 | Facility | None | $295.12 | $446.68 | $616.60 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $165.96 | $181.97 | $380.19 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $194.98 | Professional | 26 · Professional part | $69.18 | $81.28 | $194.98 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $91.20 | $194.98 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $109.65 | $154.88 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $75.86 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $79.43 Typical High $190.55 | Professional | TC · Technical part | $48.98 | $79.43 | $190.55 |
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 $66.07 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $66.07 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $26.30 | $26.30 | $33.88 |
Where New Jersey sits
The same service costs 3.9 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· 34th of 51
$166
AK $398TX $102
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.