How much rates vary
Facilitymedian $1,000 · 10th to 90th $170 to $3,548Professionalmedian $155 · 10th to 90th $115 to $288
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 $147.91 Median $162.18 Typical High $162.18 | Facility | None | $147.91 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $141.25 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $95.50 | Professional | 26 · Professional part | $79.43 | $93.33 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $70.79 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $141.25 | $151.36 | $151.36 |
AmeriHealth Setting Facility Modifier None Typical Low $190.55 Median $1,778.28 Typical High $3,801.89 | Facility | None | $190.55 | $1,778.28 | $3,801.89 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $162.18 | $281.84 | $457.09 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $75.86 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $190.55 | Facility | None | $158.49 | $158.49 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $371.54 | Professional | None (both parts) | $107.15 | $158.49 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $204.17 | Professional | 26 · Professional part | $58.88 | $91.20 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $165.96 | Professional | TC · Technical part | $47.86 | $67.61 | $165.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $239.88 | $239.88 | $257.04 |
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 $144.54 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $144.54 | $154.88 | $323.59 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $186.21 | Professional | 26 · Professional part | $72.44 | $85.11 | $186.21 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $144.54 | Professional | TC · Technical part | $54.95 | $64.57 | $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 $112.20 Median $147.91 Typical High $309.03 | Professional | None (both parts) | $112.20 | $147.91 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $173.78 | Professional | 26 · Professional part | $61.66 | $81.28 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $48.98 | $63.10 | $131.83 |
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 $67.61 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $67.61 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $32.36 | $32.36 |
Where New Jersey sits
The same service costs 3.6 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· 38th of 51
$155
AK $380TX $105
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.