How much rates vary
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 $51.29 Median $54.95 Typical High $123.03 | Facility | None | $51.29 | $54.95 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $51.29 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
AmeriHealth Setting Facility Modifier None Typical Low $53.70 Median $141.25 Typical High $707.95 | Facility | None | $53.70 | $141.25 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $112.20 Typical High $194.98 | Facility | None | $58.88 | $112.20 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $67.61 Typical High $74.13 | Professional | None (both parts) | $36.31 | $67.61 | $74.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $151.36 Median $18,197.01 Typical High $28,840.32 | Facility | None | $151.36 | $18,197.01 | $28,840.32 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $36.31 | $36.31 | $36.31 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.90 Typical High $51.29 | Professional | None (both parts) | $21.38 | $30.90 | $51.29 |
1 more rate 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where New Jersey sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 22nd of 51
$51.29
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.