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 $72.44 Median $72.44 Typical High $85.11 | Facility | None | $72.44 | $72.44 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $72.44 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $33.11 | Professional | 26 · Professional part | $28.18 | $32.36 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $39.81 | $39.81 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $251.19 | Facility | None | $123.03 | $147.91 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $199.53 | Professional | None (both parts) | $61.66 | $67.61 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $74.13 | Professional | 26 · Professional part | $21.38 | $29.51 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $120.23 | Professional | TC · Technical part | $39.81 | $43.65 | $120.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $131.83 | $131.83 | $144.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $275.42 | Facility | None | $131.83 | $218.78 | $275.42 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $177.83 | Professional | None (both parts) | $79.43 | $87.10 | $177.83 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $30.90 | $63.10 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $114.82 | Professional | TC · Technical part | $44.67 | $52.48 | $114.82 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $245.47 | Facility | None | $112.20 | $112.20 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $169.82 | Professional | None (both parts) | $60.26 | $79.43 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $29.51 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $109.65 | Professional | TC · Technical part | $38.02 | $50.12 | $109.65 |
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 $36.31 Median $36.31 Typical High $42.66 | Professional | 52 · Reduced service | $36.31 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | 53 · Discontinued | $14.45 | $14.45 | $16.98 |
Where New Jersey sits
The same service costs 3.0 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· 43rd of 51
$79.43
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.