How much rates vary
Facilitymedian $288 · 10th to 90th $269 to $1,585Professionalmedian $269 · 10th to 90th $195 to $501
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 $269.15 Typical High $288.40 | Facility | None | $269.15 | $269.15 | $288.40 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $165.96 | Facility | 26 · Professional part | $158.49 | $158.49 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $123.03 | Facility | TC · Technical part | $109.65 | $109.65 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $239.88 | $288.40 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $165.96 Typical High $239.88 | Professional | 26 · Professional part | $144.54 | $165.96 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $123.03 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $245.47 | $288.40 | $288.40 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $741.31 | Professional | None (both parts) | $239.88 | $281.84 | $741.31 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $354.81 | Professional | 26 · Professional part | $138.04 | $138.04 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $269.15 | Facility | None | $218.78 | $218.78 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $630.96 | Professional | None (both parts) | $177.83 | $275.42 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $371.54 | Professional | 26 · Professional part | $107.15 | $165.96 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $251.19 | Professional | TC · Technical part | $70.79 | $107.15 | $251.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | None (both parts) | $389.05 | $389.05 | $426.58 |
Horizon BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,737.80 | Facility | None | $831.76 | $1,258.93 | $1,737.80 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $251.19 | $269.15 | $575.44 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $154.88 Typical High $338.84 | Professional | 26 · Professional part | $131.83 | $154.88 | $338.84 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $91.20 | $107.15 | $229.09 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,548.82 | Facility | None | $724.44 | $724.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $186.21 | $239.88 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $316.23 | Professional | 26 · Professional part | $112.20 | $147.91 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $97.72 | $218.78 |
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 $112.20 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $112.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $57.54 | $57.54 |
Where New Jersey sits
The same service costs 3.3 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
$269
AK $589TX $178
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.