How much rates vary
Facilitymedian $13,490 · 10th to 90th $87 to $27,542Professionalmedian $19 · 10th to 90th $16 to $23
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 $20.89 Median $20.89 Typical High $22.91 | Facility | None | $20.89 | $20.89 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | None (both parts) | $20.89 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $9.33 | Professional | 26 · Professional part | $8.51 | $8.51 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $12.30 Typical High $13.18 | Professional | TC · Technical part | $12.30 | $12.30 | $13.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.18 Typical High $32.36 | Professional | None (both parts) | $26.30 | $28.18 | $32.36 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.48 Typical High $13.18 | Professional | 26 · Professional part | $10.96 | $11.48 | $13.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $16.60 Typical High $19.50 | Professional | TC · Technical part | $15.14 | $16.60 | $19.50 |
Horizon BCBS Setting Facility Modifier None Typical Low $97.72 Median $15,488.17 Typical High $27,542.29 | Facility | None | $97.72 | $15,488.17 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $16.98 Median $18.62 Typical High $19.50 | Professional | None (both parts) | $16.98 | $18.62 | $19.50 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.13 Typical High $8.32 | Professional | 26 · Professional part | $7.24 | $8.13 | $8.32 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $10.72 Typical High $11.22 | Professional | TC · Technical part | $9.55 | $10.72 | $11.22 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $154.88 | Facility | None | $72.44 | $72.44 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.05 Typical High $34.67 | Professional | None (both parts) | $15.14 | $19.05 | $34.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.41 Typical High $14.79 | Professional | 26 · Professional part | $6.17 | $7.41 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $10.72 Typical High $19.95 | Professional | TC · Technical part | $8.91 | $10.72 | $19.95 |
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 $10.47 Median $10.47 Typical High $11.48 | Professional | 52 · Reduced service | $10.47 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.57 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.57 |
Where New Jersey sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 36th of 51
$19.50
WI $39.81NC $17.38
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.