How much rates vary
Facilitymedian $170 · 10th to 90th $112 to $417Professionalmedian $89 · 10th to 90th $37 to $209
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 $112.20 Median $204.17 Typical High $426.58 | Facility | None | $112.20 | $204.17 | $426.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $97.72 Typical High $131.83 | Facility | 26 · Professional part | $28.84 | $97.72 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $239.88 Typical High $316.23 | Facility | TC · Technical part | $112.20 | $239.88 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $123.03 | $123.03 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $141.25 | Professional | 26 · Professional part | $28.84 | $28.84 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $89.13 | $95.50 | $95.50 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $138.04 | Professional | None (both parts) | $37.15 | $53.70 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $60.26 | Professional | 26 · Professional part | $16.22 | $16.22 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $134.90 | Professional | TC · Technical part | $37.15 | $39.81 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $416.87 | Facility | None | $117.49 | $154.88 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $69.18 Typical High $186.21 | Professional | None (both parts) | $66.07 | $69.18 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $52.48 | Professional | 26 · Professional part | $16.98 | $19.50 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $141.25 | Professional | TC · Technical part | $45.71 | $52.48 | $141.25 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $128.82 Median $158.49 Typical High $416.87 | Facility | None | $128.82 | $158.49 | $416.87 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $66.07 Median $69.18 Typical High $186.21 | Professional | None (both parts) | $66.07 | $69.18 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $52.48 | Professional | 26 · Professional part | $16.98 | $19.50 | $52.48 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $141.25 | Professional | TC · Technical part | $45.71 | $52.48 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $41.69 | $120.23 | $223.87 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $144.54 | $169.82 | $194.98 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $41.69 | $54.95 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $128.82 | $144.54 |
United Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $177.83 | Facility | None | $107.15 | $125.89 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $61.66 | $131.83 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $21.38 | $37.15 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $85.11 Typical High $158.49 | Professional | TC · Technical part | $38.02 | $85.11 | $158.49 |
4 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 Facility Modifier 52 · Reduced service Typical Low $50.12 Median $83.18 Typical High $141.25 | Facility | 52 · Reduced service | $50.12 | $83.18 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $33.11 Typical High $56.23 | Facility | 53 · Discontinued | $19.95 | $33.11 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $102.33 | Professional | 52 · Reduced service | $61.66 | $61.66 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $40.74 | Professional | 53 · Discontinued | $24.55 | $24.55 | $40.74 |
Where Ohio sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 48th of 51
$100
AK $331AL $57.54
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.