How much rates vary
Facilitymedian $437 · 10th to 90th $63 to $2,884Professionalmedian $91 · 10th to 90th $63 to $186
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 $63.10 Median $83.18 Typical High $83.18 | Facility | None | $63.10 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $37.15 | Facility | 26 · Professional part | $34.67 | $34.67 | $37.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $47.86 Typical High $47.86 | Facility | TC · Technical part | $26.92 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $131.83 | Professional | None (both parts) | $63.10 | $63.10 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $30.90 | $37.15 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $91.20 | Professional | TC · Technical part | $26.92 | $26.92 | $91.20 |
AmeriHealth Setting Facility Modifier None Typical Low $251.19 Median $1,445.44 Typical High $2,884.03 | Facility | None | $251.19 | $1,445.44 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $169.82 Typical High $199.53 | Facility | None | $165.96 | $169.82 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $213.80 | Professional | None (both parts) | $72.44 | $85.11 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $81.28 | Professional | 26 · Professional part | $23.44 | $33.88 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $60.26 Typical High $125.89 | Professional | TC · Technical part | $38.02 | $60.26 | $125.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | None (both parts) | $165.96 | $165.96 | $181.97 |
Horizon BCBS Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $602.56 | Facility | None | $288.40 | $436.52 | $602.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $208.93 | Professional | None (both parts) | $91.20 | $100.00 | $208.93 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $83.18 | Professional | 26 · Professional part | $28.84 | $33.88 | $83.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $125.89 | Professional | TC · Technical part | $50.12 | $61.66 | $125.89 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $537.03 | Facility | None | $245.47 | $245.47 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $93.33 Typical High $194.98 | Professional | None (both parts) | $57.54 | $93.33 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $69.18 | Professional | 26 · Professional part | $23.99 | $31.62 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $60.26 Typical High $125.89 | Professional | TC · Technical part | $36.31 | $60.26 | $125.89 |
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 $31.62 Median $31.62 Typical High $50.12 | Professional | 52 · Reduced service | $31.62 | $31.62 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $19.95 | Professional | 53 · Discontinued | $12.88 | $12.88 | $19.95 |
Where New Jersey sits
The same service costs 3.5 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· 45th of 51
$91.20
AK $229KY $64.57
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.