How much rates vary
Facilitymedian $129 · 10th to 90th $69 to $288Professionalmedian $65 · 10th to 90th $35 to $117
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 $107.15 Median $181.97 Typical High $288.40 | Facility | None | $107.15 | $181.97 | $288.40 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $15.49 Median $52.48 Typical High $75.86 | Facility | 26 · Professional part | $15.49 | $52.48 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $138.04 Typical High $213.80 | Facility | TC · Technical part | $58.88 | $138.04 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $302.00 | Professional | None (both parts) | $66.07 | $66.07 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $199.53 | Professional | 26 · Professional part | $15.49 | $15.49 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $169.82 | Professional | TC · Technical part | $50.12 | $50.12 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $123.03 | Professional | None (both parts) | $34.67 | $34.67 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $31.62 | Professional | 26 · Professional part | $9.55 | $9.55 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $93.33 | Professional | TC · Technical part | $25.12 | $25.12 | $93.33 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $83.18 Typical High $323.59 | Facility | None | $63.10 | $83.18 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $114.82 | Professional | None (both parts) | $38.02 | $45.71 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $29.51 | Professional | 26 · Professional part | $9.12 | $11.22 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $83.18 | Professional | TC · Technical part | $28.84 | $34.67 | $83.18 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $331.13 | Facility | None | $69.18 | $85.11 | $331.13 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $112.20 | Professional | None (both parts) | $38.02 | $45.71 | $112.20 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $28.18 | Professional | 26 · Professional part | $9.12 | $11.22 | $28.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $83.18 | Professional | TC · Technical part | $28.84 | $34.67 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $33.88 | $72.44 | $104.71 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $79.43 | $93.33 | $128.82 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $34.67 | Professional | 26 · Professional part | $19.50 | $22.39 | $34.67 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $93.33 | Professional | TC · Technical part | $60.26 | $70.79 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $89.13 Typical High $141.25 | Professional | None (both parts) | $52.48 | $89.13 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $22.39 Typical High $33.88 | Professional | 26 · Professional part | $13.18 | $22.39 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $39.81 | $66.07 | $109.65 |
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 $33.11 Median $54.95 Typical High $75.86 | Facility | 52 · Reduced service | $33.11 | $54.95 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $21.88 Typical High $30.20 | Facility | 53 · Discontinued | $13.18 | $21.88 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $151.36 | Professional | 52 · Reduced service | $33.11 | $33.11 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $61.66 | Professional | 53 · Discontinued | $13.18 | $13.18 | $61.66 |
Where Ohio sits
The same service costs 4.0 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· 44th of 51
$67.61
AK $234AL $58.88
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.