How much rates vary
Facilitymedian $138 · 10th to 90th $120 to $912Professionalmedian $91 · 10th to 90th $51 to $166
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 $120.23 Median $138.04 Typical High $138.04 | Facility | None | $120.23 | $138.04 | $138.04 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $19.05 | Facility | 26 · Professional part | $18.20 | $18.20 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $120.23 | Facility | TC · Technical part | $102.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $120.23 Typical High $138.04 | Professional | None (both parts) | $72.44 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.05 Typical High $21.88 | Professional | 26 · Professional part | $16.60 | $19.05 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $102.33 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $102.33 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $63.10 | Professional | None (both parts) | $45.71 | $56.23 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $141.25 Typical High $645.65 | Facility | None | $117.49 | $141.25 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $77.62 Typical High $281.84 | Professional | None (both parts) | $47.86 | $77.62 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $43.65 | Professional | 26 · Professional part | $12.59 | $17.38 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $57.54 Typical High $234.42 | Professional | TC · Technical part | $34.67 | $57.54 | $234.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $107.15 | $107.15 | $114.82 |
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 $66.07 Median $70.79 Typical High $204.17 | Professional | None (both parts) | $66.07 | $70.79 | $204.17 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $39.81 | Professional | 26 · Professional part | $15.49 | $18.20 | $39.81 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $173.78 | Professional | TC · Technical part | $41.69 | $50.12 | $173.78 |
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 $50.12 Median $66.07 Typical High $141.25 | Professional | None (both parts) | $50.12 | $66.07 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $37.15 | Professional | 26 · Professional part | $12.88 | $16.60 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $48.98 Typical High $107.15 | Professional | TC · Technical part | $37.15 | $48.98 | $107.15 |
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 $35.48 Median $60.26 Typical High $69.18 | Professional | 52 · Reduced service | $35.48 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $14.13 | $23.99 | $27.54 |
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· 22nd of 51
$95.50
AK $162TX $51.29
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.