How much rates vary
Facilitymedian $155 · 10th to 90th $141 to $933Professionalmedian $151 · 10th to 90th $107 to $282
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 $141.25 Median $141.25 Typical High $537.03 | Facility | None | $141.25 | $141.25 | $537.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $83.18 | Facility | 26 · Professional part | $79.43 | $79.43 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $72.44 | Facility | TC · Technical part | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $131.83 | $154.88 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $120.23 | Professional | 26 · Professional part | $74.13 | $83.18 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $57.54 | $72.44 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $123.03 | $134.90 | $190.55 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $426.58 | Professional | None (both parts) | $131.83 | $181.97 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $162.18 | Facility | None | $134.90 | $134.90 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $346.74 | Professional | None (both parts) | $97.72 | $151.36 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $83.18 Typical High $186.21 | Professional | 26 · Professional part | $53.70 | $83.18 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $66.07 Typical High $162.18 | Professional | TC · Technical part | $43.65 | $66.07 | $162.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $218.78 | $218.78 | $239.88 |
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 $141.25 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $141.25 | $151.36 | $309.03 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $79.43 | $173.78 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $67.61 | $144.54 |
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 $104.71 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $104.71 | $134.90 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $74.13 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $138.04 | Professional | TC · Technical part | $46.77 | $60.26 | $138.04 |
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 $63.10 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $63.10 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $25.12 | $30.90 | $30.90 |
Where New Jersey sits
The same service costs 4.0 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· 32nd of 51
$151
AK $339TX $85.11
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.