How much rates vary
Facilitymedian $129 · 10th to 90th $117 to $912Professionalmedian $126 · 10th to 90th $89 to $229
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 $117.49 Median $117.49 Typical High $354.81 | Facility | None | $117.49 | $117.49 | $354.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $69.18 | Facility | 26 · Professional part | $66.07 | $66.07 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $60.26 | Facility | TC · Technical part | $52.48 | $52.48 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $109.65 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $60.26 | $69.18 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $79.43 | Professional | TC · Technical part | $46.77 | $60.26 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | None (both parts) | $112.20 | $112.20 | $114.82 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $109.65 | $109.65 | $218.78 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $58.88 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Facility | None | $112.20 | $112.20 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $125.89 Typical High $288.40 | Professional | None (both parts) | $81.28 | $125.89 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $45.71 | $70.79 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $54.95 Typical High $138.04 | Professional | TC · Technical part | $36.31 | $54.95 | $138.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $177.83 | $181.97 | $199.53 |
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 $117.49 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $117.49 | $125.89 | $263.03 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $144.54 | Professional | 26 · Professional part | $56.23 | $66.07 | $144.54 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $47.86 | $56.23 | $120.23 |
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 $87.10 Median $112.20 Typical High $251.19 | Professional | None (both parts) | $87.10 | $112.20 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $63.10 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $114.82 | Professional | TC · Technical part | $38.02 | $50.12 | $114.82 |
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 $51.29 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $51.29 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $25.70 | $25.70 |
Where New Jersey sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 29th of 51
$126
AK $275UT $72.44
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.