How much rates vary
Facilitymedian $355 · 10th to 90th $91 to $562Professionalmedian $83 · 10th to 90th $69 to $170
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $81.28 Median $81.28 Typical High $91.20 | Facility | None | $81.28 | $81.28 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $79.43 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $53.70 | Professional | 26 · Professional part | $41.69 | $47.86 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | TC · Technical part | $33.88 | $33.88 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $107.15 | Professional | None (both parts) | $74.13 | $102.33 | $107.15 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $81.28 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $81.28 | $134.90 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $125.89 Typical High $204.17 | Facility | None | $104.71 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $69.18 Typical High $208.93 | Professional | None (both parts) | $63.10 | $69.18 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $107.15 | Professional | 26 · Professional part | $30.20 | $42.66 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $104.71 | Professional | TC · Technical part | $30.90 | $36.31 | $104.71 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $138.04 | $138.04 | $151.36 |
Horizon BCBS Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $602.56 | Facility | None | $288.40 | $436.52 | $602.56 |
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 $38.02 Median $44.67 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $44.67 | $95.50 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $97.72 | Professional | TC · Technical part | $34.67 | $41.69 | $97.72 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $537.03 | Facility | None | $245.47 | $245.47 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $177.83 | Professional | None (both parts) | $63.10 | $83.18 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $89.13 | Professional | 26 · Professional part | $30.90 | $40.74 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $87.10 | Professional | TC · Technical part | $31.62 | $41.69 | $87.10 |
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 $39.81 Median $40.74 Typical High $45.71 | Professional | 52 · Reduced service | $39.81 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.22 Typical High $18.20 | Professional | 53 · Discontinued | $15.85 | $16.22 | $18.20 |
Where New Jersey sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 42nd of 51
$83.18
AK $219AL $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.