How much rates vary
Facilitymedian $98 · 10th to 90th $60 to $229Professionalmedian $65 · 10th to 90th $35 to $120
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 $61.66 Median $109.65 Typical High $229.09 | Facility | None | $61.66 | $109.65 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $17.38 Typical High $40.74 | Facility | 26 · Professional part | $9.55 | $17.38 | $40.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $173.78 | Facility | TC · Technical part | $60.26 | $95.50 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $208.93 | Professional | None (both parts) | $58.88 | $70.79 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.96 Typical High $33.88 | Professional | 26 · Professional part | $9.12 | $10.96 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $154.88 | Professional | TC · Technical part | $52.48 | $57.54 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $50.12 | Professional | None (both parts) | $29.51 | $37.15 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $5.50 Typical High $14.45 | Professional | 26 · Professional part | $4.68 | $5.50 | $14.45 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $31.62 | $31.62 | $31.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $61.66 Typical High $169.82 | Professional | None (both parts) | $31.62 | $61.66 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $23.99 | Professional | 26 · Professional part | $5.01 | $5.01 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $58.88 | Professional | TC · Technical part | $23.99 | $28.84 | $58.88 |
Aultcare Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $134.90 | Professional | None (both parts) | $52.48 | $52.48 | $134.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.96 Median $61.66 Typical High $87.10 | Professional | None (both parts) | $10.96 | $61.66 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $281.84 | Facility | None | $66.07 | $89.13 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $37.15 Typical High $102.33 | Professional | None (both parts) | $35.48 | $37.15 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $6.17 Typical High $16.60 | Professional | 26 · Professional part | $5.50 | $6.17 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $85.11 | Professional | TC · Technical part | $29.51 | $31.62 | $85.11 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $45.71 Median $89.13 Typical High $269.15 | Facility | None | $45.71 | $89.13 | $269.15 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $34.67 Median $37.15 Typical High $107.15 | Professional | None (both parts) | $34.67 | $37.15 | $107.15 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $10.00 Typical High $25.70 | Professional | 26 · Professional part | $5.50 | $10.00 | $25.70 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $85.11 | Professional | TC · Technical part | $29.51 | $31.62 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $70.79 Typical High $104.71 | Professional | None (both parts) | $33.88 | $70.79 | $104.71 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $125.89 | Professional | None (both parts) | $77.62 | $91.20 | $125.89 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $18.62 | Professional | 26 · Professional part | $11.75 | $13.49 | $18.62 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $66.07 | $77.62 | $107.15 |
United Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $457.09 | Facility | None | $275.42 | $316.23 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $70.79 Typical High $114.82 | Professional | None (both parts) | $38.90 | $70.79 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $12.02 Typical High $18.20 | Professional | 26 · Professional part | $6.76 | $12.02 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $56.23 Typical High $97.72 | Professional | TC · Technical part | $32.36 | $56.23 | $97.72 |
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 $30.20 Median $42.66 Typical High $77.62 | Facility | 52 · Reduced service | $30.20 | $42.66 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $16.98 Typical High $30.90 | Facility | 53 · Discontinued | $12.30 | $16.98 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $123.03 | Professional | 52 · Reduced service | $30.20 | $30.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $50.12 | Professional | 53 · Discontinued | $12.30 | $12.30 | $50.12 |
Where Ohio sits
The same service costs 6.0 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· 37th of 51
$72.44
AK $209AL $34.67
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.