How much rates vary
Facilitymedian $501 · 10th to 90th $115 to $5,012Professionalmedian $204 · 10th to 90th $85 to $339
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 $398.11 Median $2,511.89 Typical High $12,022.64 | Facility | None | $398.11 | $2,511.89 | $12,022.64 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $100.00 Median $208.93 Typical High $257.04 | Facility | 26 · Professional part | $100.00 | $208.93 | $257.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $316.23 Typical High $478.63 | Facility | TC · Technical part | $169.82 | $316.23 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $3,162.28 | Professional | None (both parts) | $218.78 | $257.04 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $251.19 | Professional | 26 · Professional part | $75.86 | $75.86 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $389.05 | Professional | TC · Technical part | $144.54 | $144.54 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $223.87 | $223.87 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $1,318.26 Typical High $16,595.87 | Facility | None | $407.38 | $1,318.26 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $194.98 | $239.88 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $72.44 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $177.83 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $93.33 Median $151.36 Typical High $245.47 | Facility | None | $93.33 | $151.36 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $218.78 Typical High $1,479.11 | Facility | None | $117.49 | $218.78 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $478.63 | Professional | None (both parts) | $194.98 | $223.87 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $74.13 | $85.11 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $331.13 | Professional | TC · Technical part | $120.23 | $138.04 | $331.13 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $1,479.11 | Facility | None | $117.49 | $208.93 | $1,479.11 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $478.63 | Professional | None (both parts) | $194.98 | $218.78 | $478.63 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $74.13 | $85.11 | $162.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $331.13 | Professional | TC · Technical part | $120.23 | $138.04 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $75.86 | $154.88 | $239.88 |
SummaCare Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $75.86 | Facility | None | $63.10 | $66.07 | $75.86 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $194.98 | $204.17 | $302.00 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $81.28 | $117.49 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $194.98 | Professional | TC · Technical part | $117.49 | $123.03 | $194.98 |
United Setting Facility Modifier None Typical Low $97.72 Median $275.42 Typical High $2,398.83 | Facility | None | $97.72 | $275.42 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $190.55 | $263.03 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $89.13 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $169.82 | $346.74 |
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 $109.65 Median $109.65 Typical High $199.53 | Professional | 52 · Reduced service | $109.65 | $109.65 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $79.43 | Professional | 53 · Discontinued | $43.65 | $43.65 | $79.43 |
Where Ohio sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 45th of 51
$209
WI $708UT $135
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.