How much rates vary
Facilitymedian $126 · 10th to 90th $83 to $316Professionalmedian $85 · 10th to 90th $40 to $178
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 $93.33 Median $151.36 Typical High $281.84 | Facility | None | $93.33 | $151.36 | $281.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $38.90 Typical High $91.20 | Facility | 26 · Professional part | $20.42 | $38.90 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $117.49 Typical High $213.80 | Facility | TC · Technical part | $67.61 | $117.49 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $281.84 | Professional | None (both parts) | $83.18 | $95.50 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $74.13 | Professional | 26 · Professional part | $19.95 | $23.99 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $186.21 | Professional | TC · Technical part | $63.10 | $72.44 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $109.65 | Professional | None (both parts) | $43.65 | $51.29 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $32.36 | Professional | 26 · Professional part | $15.14 | $18.20 | $32.36 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | TC · Technical part | $38.90 | $38.90 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $141.25 | Professional | None (both parts) | $39.81 | $39.81 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $50.12 | Professional | 26 · Professional part | $11.22 | $11.22 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $97.72 | Professional | TC · Technical part | $28.18 | $28.18 | $97.72 |
Aultcare Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $186.21 | Professional | None (both parts) | $70.79 | $70.79 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $24.55 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $24.55 | $75.86 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $354.81 | Facility | None | $81.28 | $109.65 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $51.29 Typical High $144.54 | Professional | None (both parts) | $50.12 | $51.29 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.49 Typical High $37.15 | Professional | 26 · Professional part | $12.30 | $13.49 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.90 Typical High $104.71 | Professional | TC · Technical part | $36.31 | $38.90 | $104.71 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $346.74 | Facility | None | $61.66 | $109.65 | $346.74 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $147.91 | Professional | None (both parts) | $45.71 | $51.29 | $147.91 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $22.91 Typical High $56.23 | Professional | 26 · Professional part | $12.30 | $22.91 | $56.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.90 Typical High $107.15 | Professional | TC · Technical part | $36.31 | $38.90 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $41.69 | $114.82 | $181.97 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $97.72 | $125.89 | $173.78 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $25.70 | $30.20 | $41.69 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $131.83 | Professional | TC · Technical part | $69.18 | $95.50 | $131.83 |
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 $52.48 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $52.48 | $100.00 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $15.14 | $26.92 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $70.79 Typical High $117.49 | Professional | TC · Technical part | $37.15 | $70.79 | $117.49 |
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 $41.69 Median $58.88 Typical High $95.50 | Facility | 52 · Reduced service | $41.69 | $58.88 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $23.44 Typical High $38.02 | Facility | 53 · Discontinued | $16.60 | $23.44 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $158.49 | Professional | 52 · Reduced service | $41.69 | $41.69 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $63.10 | Professional | 53 · Discontinued | $16.60 | $16.60 | $63.10 |
Where Ohio sits
The same service costs 5.5 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· 41st of 51
$93.33
AK $269AL $48.98
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.