How much rates vary
Facilitymedian $52 · 10th to 90th $28 to $126Professionalmedian $30 · 10th to 90th $15 to $62
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 $24.55 Median $45.71 Typical High $83.18 | Facility | None | $24.55 | $45.71 | $83.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.25 Median $10.00 Typical High $23.44 | Facility | 26 · Professional part | $5.25 | $10.00 | $23.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $35.48 Typical High $66.07 | Facility | TC · Technical part | $20.42 | $35.48 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.18 Typical High $100.00 | Professional | None (both parts) | $24.55 | $28.18 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.03 Typical High $19.05 | Professional | 26 · Professional part | $5.25 | $6.03 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.42 Typical High $67.61 | Professional | TC · Technical part | $19.50 | $20.42 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $15.14 | $15.14 | $15.14 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.98 Median $4.90 Typical High $9.12 | Professional | 26 · Professional part | $3.98 | $4.90 | $9.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $69.18 | Professional | None (both parts) | $29.51 | $29.51 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $15.85 | Professional | 26 · Professional part | $7.08 | $7.08 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $50.12 | Professional | TC · Technical part | $22.39 | $22.39 | $50.12 |
Aultcare Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $60.26 | Professional | None (both parts) | $20.89 | $20.89 | $60.26 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.31 Median $23.44 Typical High $36.31 | Professional | None (both parts) | $6.31 | $23.44 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $33.88 Typical High $125.89 | Facility | None | $25.12 | $33.88 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $18.20 Typical High $48.98 | Professional | None (both parts) | $14.45 | $18.20 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.63 Typical High $10.47 | Professional | 26 · Professional part | $3.24 | $3.63 | $10.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $14.45 Typical High $36.31 | Professional | TC · Technical part | $10.96 | $14.45 | $36.31 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $30.20 Median $97.72 Typical High $186.21 | Facility | None | $30.20 | $97.72 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $14.45 Median $15.14 Typical High $53.70 | Professional | None (both parts) | $14.45 | $15.14 | $53.70 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $6.03 Typical High $12.88 | Professional | 26 · Professional part | $3.24 | $6.03 | $12.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $11.75 Typical High $38.02 | Professional | TC · Technical part | $10.96 | $11.75 | $38.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.60 Median $35.48 Typical High $52.48 | Professional | None (both parts) | $16.60 | $35.48 | $52.48 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $70.79 | Professional | None (both parts) | $31.62 | $37.15 | $70.79 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $11.75 | Professional | 26 · Professional part | $6.92 | $7.94 | $11.75 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $28.84 | $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 $17.38 Median $29.51 Typical High $50.12 | Professional | None (both parts) | $17.38 | $29.51 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $7.08 Typical High $10.47 | Professional | 26 · Professional part | $3.89 | $7.08 | $10.47 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $13.18 | $23.99 | $39.81 |
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 $12.30 Median $22.91 Typical High $30.90 | Facility | 52 · Reduced service | $12.30 | $22.91 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $9.12 Typical High $12.59 | Facility | 53 · Discontinued | $4.90 | $9.12 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $81.28 | Professional | 52 · Reduced service | $12.30 | $12.30 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $33.11 | Professional | 53 · Discontinued | $4.90 | $4.90 | $33.11 |
Where Ohio sits
The same service costs 4.4 times more in Alaska 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· 37th of 51
$33.88
AK $123AR $28.18
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.