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 $69.18 Median $69.18 Typical High $85.11 | Facility | None | $69.18 | $69.18 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $61.66 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $38.02 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $25.12 | $27.54 | $27.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $100.00 | Professional | None (both parts) | $52.48 | $61.66 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $40.74 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $34.67 | Professional | TC · Technical part | $18.20 | $21.38 | $34.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $91.20 Median $831.76 Typical High $2,041.74 | Professional | None (both parts) | $91.20 | $831.76 | $2,041.74 |
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 |
United Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $125.89 | Facility | None | $77.62 | $89.13 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $72.44 Typical High $186.21 | Professional | None (both parts) | $53.70 | $72.44 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $112.20 | Professional | 26 · Professional part | $32.36 | $43.65 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $74.13 | Professional | TC · Technical part | $21.88 | $28.84 | $74.13 |
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 $30.90 Median $34.67 Typical High $42.66 | Professional | 52 · Reduced service | $30.90 | $34.67 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.80 Typical High $17.38 | Professional | 53 · Discontinued | $12.30 | $13.80 | $17.38 |
Where Ohio sits
The same service costs 14.8 times more in Texas 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· 33rd of 51
$66.07
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.