How much rates vary
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 $134.90 Median $134.90 Typical High $181.97 | Facility | None | $134.90 | $134.90 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $134.90 | $134.90 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $31.62 | Professional | 26 · Professional part | $25.70 | $29.51 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $107.15 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $426.58 Typical High $691.83 | Facility | None | $354.81 | $426.58 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $363.08 | Professional | None (both parts) | $125.89 | $147.91 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $66.07 | Professional | 26 · Professional part | $19.50 | $26.92 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $295.12 | Professional | TC · Technical part | $107.15 | $125.89 | $295.12 |
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 $794.33 Typical High $1,000.00 | Facility | None | $478.63 | $794.33 | $1,000.00 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $363.08 | Professional | None (both parts) | $138.04 | $151.36 | $363.08 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $60.26 | Professional | 26 · Professional part | $23.44 | $27.54 | $60.26 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $309.03 | Professional | TC · Technical part | $95.50 | $114.82 | $309.03 |
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 $107.15 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $107.15 | $141.25 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $54.95 | Professional | 26 · Professional part | $19.50 | $25.12 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $239.88 | Professional | TC · Technical part | $89.13 | $114.82 | $239.88 |
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 $67.61 Typical High $91.20 | Professional | 52 · Reduced service | $67.61 | $67.61 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | 53 · Discontinued | $26.92 | $26.92 | $36.31 |
Where New Jersey sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 44th of 51
$148
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.