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 $138.04 Median $138.04 Typical High $169.82 | Facility | None | $138.04 | $138.04 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $134.90 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $23.99 | $30.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | TC · Technical part | $107.15 | $107.15 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $660.69 | Facility | None | $371.54 | $446.68 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $363.08 | Professional | None (both parts) | $109.65 | $120.23 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.18 Typical High $64.57 | Professional | 26 · Professional part | $18.20 | $28.18 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $295.12 | Professional | TC · Technical part | $91.20 | $100.00 | $295.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $295.12 | Professional | None (both parts) | $269.15 | $269.15 | $295.12 |
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 $131.83 Median $141.25 Typical High $363.08 | Professional | None (both parts) | $131.83 | $141.25 | $363.08 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $26.30 | $57.54 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $309.03 | Professional | TC · Technical part | $89.13 | $109.65 | $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 $114.82 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $114.82 | $144.54 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $53.70 | Professional | 26 · Professional part | $19.05 | $25.12 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $229.09 | Professional | TC · Technical part | $95.50 | $120.23 | $229.09 |
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 $69.18 Typical High $85.11 | Professional | 52 · Reduced service | $67.61 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $27.54 | $33.88 |
Where New Jersey sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 46th of 51
$138
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.