How much rates vary
Facilitymedian $398 · 10th to 90th $195 to $851Professionalmedian $209 · 10th to 90th $107 to $407
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 $213.80 Median $407.38 Typical High $741.31 | Facility | None | $213.80 | $407.38 | $741.31 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $120.23 Typical High $281.84 | Facility | 26 · Professional part | $61.66 | $120.23 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $281.84 Typical High $512.86 | Facility | TC · Technical part | $162.18 | $281.84 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $676.08 | Professional | None (both parts) | $213.80 | $245.47 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $229.09 | Professional | 26 · Professional part | $61.66 | $74.13 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $416.87 | Professional | TC · Technical part | $151.36 | $169.82 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $125.89 | $426.58 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $56.23 | $56.23 | $104.71 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $91.20 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $426.58 | Professional | None (both parts) | $199.53 | $199.53 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $85.11 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $104.71 | $234.42 |
Aultcare Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $524.81 | Professional | None (both parts) | $181.97 | $181.97 | $524.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $74.13 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $74.13 | $181.97 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $851.14 | Facility | None | $194.98 | $263.03 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $389.05 | Professional | None (both parts) | $128.82 | $134.90 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $125.89 | Professional | 26 · Professional part | $37.15 | $42.66 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $269.15 | Professional | TC · Technical part | $87.10 | $91.20 | $269.15 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $165.96 Median $398.11 Typical High $933.25 | Facility | None | $165.96 | $398.11 | $933.25 |
Medical Mutual of Ohio Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $281.84 Typical High $467.74 | Facility | TC · Technical part | $162.18 | $281.84 | $467.74 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $389.05 | Professional | None (both parts) | $128.82 | $131.83 | $389.05 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $37.15 | $79.43 | $190.55 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $257.04 | Professional | TC · Technical part | $87.10 | $91.20 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $91.20 | $190.55 | $389.05 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $194.98 | $316.23 | $457.09 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $134.90 | Professional | 26 · Professional part | $77.62 | $97.72 | $134.90 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $323.59 | Professional | TC · Technical part | $186.21 | $223.87 | $323.59 |
United Setting Facility Modifier None Typical Low $741.31 Median $851.14 Typical High $1,230.27 | Facility | None | $741.31 | $851.14 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $114.82 | $263.03 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $79.43 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $177.83 Typical High $288.40 | Professional | TC · Technical part | $72.44 | $177.83 | $288.40 |
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 $89.13 Median $181.97 Typical High $371.54 | Facility | 52 · Reduced service | $89.13 | $181.97 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $72.44 Typical High $147.91 | Facility | 53 · Discontinued | $35.48 | $72.44 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $281.84 | Professional | 52 · Reduced service | $107.15 | $107.15 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $112.20 | Professional | 53 · Discontinued | $42.66 | $42.66 | $112.20 |
Where Ohio sits
The same service costs 4.2 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· 47th of 51
$214
AK $575AL $138
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.