How much rates vary
Facilitymedian $1,259 · 10th to 90th $513 to $3,715Professionalmedian $525 · 10th to 90th $437 to $1,000
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 $512.86 Median $512.86 Typical High $524.81 | Facility | None | $512.86 | $512.86 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $524.81 Typical High $588.84 | Professional | None (both parts) | $457.09 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $104.71 | $123.03 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $446.68 | Professional | TC · Technical part | $346.74 | $407.38 | $446.68 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $269.15 | Professional | 26 · Professional part | $104.71 | $104.71 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,047.13 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $1,318.26 | Professional | None (both parts) | $398.11 | $537.03 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $125.89 Typical High $281.84 | Professional | 26 · Professional part | $81.28 | $125.89 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $407.38 Typical High $1,023.29 | Professional | TC · Technical part | $316.23 | $407.38 | $1,023.29 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $933.25 Typical High $1,000.00 | Professional | None (both parts) | $912.01 | $933.25 | $1,000.00 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $3,162.28 Typical High $3,981.07 | Facility | None | $1,905.46 | $3,162.28 | $3,981.07 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $512.86 Median $562.34 Typical High $1,202.26 | Professional | None (both parts) | $512.86 | $562.34 | $1,202.26 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $257.04 | Professional | 26 · Professional part | $100.00 | $117.49 | $257.04 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $416.87 Typical High $954.99 | Professional | TC · Technical part | $354.81 | $416.87 | $954.99 |
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 $416.87 Median $524.81 Typical High $1,122.02 | Professional | None (both parts) | $416.87 | $524.81 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $239.88 | Professional | 26 · Professional part | $83.18 | $109.65 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $416.87 Typical High $870.96 | Professional | TC · Technical part | $338.84 | $416.87 | $870.96 |
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 $229.09 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $229.09 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $91.20 | $104.71 | $104.71 |
Where New Jersey sits
The same service costs 3.1 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· 39th of 51
$525
AK $1,259TX $407
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.