How much rates vary
Facilitymedian $676 · 10th to 90th $186 to $3,162Professionalmedian $132 · 10th to 90th $100 to $263
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 $131.83 Median $131.83 Typical High $575.44 | Facility | None | $131.83 | $131.83 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $131.83 | $131.83 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $58.88 | Professional | 26 · Professional part | $42.66 | $48.98 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $83.18 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $144.54 | Professional | None (both parts) | $112.20 | $128.82 | $144.54 |
AmeriHealth Setting Facility Modifier None Typical Low $190.55 Median $1,819.70 Typical High $3,801.89 | Facility | None | $190.55 | $1,819.70 | $3,801.89 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $446.68 | Professional | None (both parts) | $123.03 | $158.49 | $446.68 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $38.90 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $537.03 | Facility | None | $186.21 | $223.87 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $371.54 | Professional | None (both parts) | $91.20 | $117.49 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $107.15 | Professional | 26 · Professional part | $30.20 | $43.65 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $257.04 | Professional | TC · Technical part | $60.26 | $72.44 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $190.55 | $190.55 | $208.93 |
Horizon BCBS Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $616.60 | Facility | None | $295.12 | $446.68 | $616.60 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $338.84 | Professional | None (both parts) | $125.89 | $134.90 | $338.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $44.67 | $97.72 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $234.42 | Professional | TC · Technical part | $72.44 | $85.11 | $234.42 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $269.15 | Professional | None (both parts) | $91.20 | $120.23 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $30.90 | $40.74 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $77.62 | $177.83 |
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 $66.07 Median $66.07 Typical High $107.15 | Professional | 52 · Reduced service | $66.07 | $66.07 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $42.66 | Professional | 53 · Discontinued | $26.30 | $26.30 | $42.66 |
Where New Jersey sits
The same service costs 3.2 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· 29th of 51
$132
AK $302TX $93.33
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.