How much rates vary
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 $46.77 Median $50.12 Typical High $50.12 | Facility | None | $46.77 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $22.91 | $25.12 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | TC · Technical part | $22.39 | $24.55 | $24.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $34.67 | $47.86 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $26.92 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $30.90 | Professional | TC · Technical part | $17.78 | $20.89 | $30.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $489.78 Typical High $1,479.11 | Professional | None (both parts) | $64.57 | $489.78 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $257.04 | Professional | None (both parts) | $67.61 | $67.61 | $257.04 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $257.04 | Professional | None (both parts) | $67.61 | $67.61 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $60.26 | Professional | None (both parts) | $39.81 | $50.12 | $60.26 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
United Setting Facility Modifier None Typical Low $58.88 Median $69.18 Typical High $97.72 | Facility | None | $58.88 | $69.18 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $50.12 Typical High $87.10 | Professional | None (both parts) | $36.31 | $50.12 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $42.66 | Professional | 26 · Professional part | $17.78 | $25.12 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $17.78 | $25.12 | $42.66 |
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 $22.39 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $22.39 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $8.91 | $10.00 | $10.00 |
Where Ohio sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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.
Ohio· 32nd of 51
$47.86
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.