How much rates vary
Facilitymedian $89 · 10th to 90th $87 to $89Professionalmedian $87 · 10th to 90th $68 to $170
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 $87.10 Median $89.13 Typical High $89.13 | Facility | None | $87.10 | $89.13 | $89.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $39.81 | Facility | 26 · Professional part | $38.02 | $38.02 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $50.12 | Facility | TC · Technical part | $47.86 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $75.86 | $87.10 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $34.67 | $39.81 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $40.74 | $47.86 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $79.43 | $85.11 | $85.11 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $186.21 | Professional | None (both parts) | $83.18 | $83.18 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $134.90 | Facility | None | $109.65 | $109.65 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $85.11 Typical High $208.93 | Professional | None (both parts) | $61.66 | $85.11 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $87.10 | Professional | 26 · Professional part | $25.70 | $38.02 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $114.82 | Professional | TC · Technical part | $36.31 | $46.77 | $114.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $131.83 | $138.04 | $147.91 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $83.18 | $89.13 | $186.21 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $37.15 | $79.43 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $48.98 Typical High $102.33 | Professional | TC · Technical part | $41.69 | $48.98 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $177.83 | Professional | None (both parts) | $64.57 | $83.18 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $75.86 | Professional | 26 · Professional part | $26.30 | $34.67 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $47.86 Typical High $100.00 | Professional | TC · Technical part | $37.15 | $47.86 | $100.00 |
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 $37.15 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $37.15 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.38 Typical High $17.78 | Professional | 53 · Discontinued | $14.79 | $17.38 | $17.78 |
Where New Jersey sits
The same service costs 3.0 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· 35th of 51
$87.10
AK $204TX $67.61
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.