How much rates vary
Facilitymedian $955 · 10th to 90th $355 to $3,715Professionalmedian $347 · 10th to 90th $295 to $676
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 $338.84 Median $354.81 Typical High $354.81 | Facility | None | $338.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $309.03 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $47.86 | Professional | 26 · Professional part | $39.81 | $46.77 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $295.12 Typical High $354.81 | Professional | TC · Technical part | $263.03 | $295.12 | $354.81 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $39.81 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Facility | None | $794.33 | $794.33 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $912.01 | Professional | None (both parts) | $263.03 | $338.84 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $30.90 | $47.86 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $794.33 | Professional | TC · Technical part | $234.42 | $295.12 | $794.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | None (both parts) | $630.96 | $630.96 | $691.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $3,981.07 | Facility | None | $1,905.46 | $2,884.03 | $3,981.07 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $380.19 Typical High $812.83 | Professional | None (both parts) | $346.74 | $380.19 | $812.83 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $97.72 | Professional | 26 · Professional part | $38.90 | $45.71 | $97.72 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $316.23 Typical High $724.44 | Professional | TC · Technical part | $269.15 | $316.23 | $724.44 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,630.78 | Facility | None | $1,659.59 | $1,659.59 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $281.84 | $354.81 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $91.20 | Professional | 26 · Professional part | $32.36 | $41.69 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $645.65 | Professional | TC · Technical part | $245.47 | $309.03 | $645.65 |
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 $151.36 Median $169.82 Typical High $173.78 | Professional | 52 · Reduced service | $151.36 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $70.79 | Professional | 53 · Discontinued | $61.66 | $67.61 | $70.79 |
Where New Jersey sits
The same service costs 3.0 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· 40th of 51
$347
AK $813NM $275
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.