How much rates vary
Facilitymedian $76 · 10th to 90th $26 to $155Professionalmedian $45 · 10th to 90th $25 to $89
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 $64.57 Median $87.10 Typical High $173.78 | Facility | None | $64.57 | $87.10 | $173.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $63.10 Typical High $104.71 | Facility | 26 · Professional part | $26.92 | $63.10 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $43.65 Typical High $61.66 | Facility | TC · Technical part | $21.88 | $43.65 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $141.25 | Professional | None (both parts) | $40.74 | $40.74 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $104.71 | Professional | 26 · Professional part | $22.91 | $23.44 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.20 Typical High $50.12 | Professional | TC · Technical part | $16.98 | $18.20 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $14.13 | $39.81 | $39.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $93.33 | Professional | None (both parts) | $44.67 | $44.67 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $31.62 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $9.33 Typical High $25.70 | Professional | TC · Technical part | $9.33 | $9.33 | $25.70 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $40.74 Median $93.33 Typical High $102.33 | Professional | None (both parts) | $40.74 | $93.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $31.62 Typical High $100.00 | Facility | None | $23.44 | $31.62 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.30 Typical High $72.44 | Professional | None (both parts) | $25.12 | $26.30 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $42.66 | Professional | 26 · Professional part | $14.13 | $15.85 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $10.96 Typical High $30.20 | Professional | TC · Technical part | $7.59 | $10.96 | $30.20 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $151.36 | Facility | None | $25.70 | $36.31 | $151.36 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.30 Typical High $69.18 | Professional | None (both parts) | $25.12 | $26.30 | $69.18 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $51.29 | Professional | 26 · Professional part | $14.13 | $15.85 | $51.29 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $10.96 Typical High $30.20 | Professional | TC · Technical part | $7.59 | $10.96 | $30.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $44.67 Typical High $89.13 | Professional | None (both parts) | $25.12 | $44.67 | $89.13 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $70.79 | Professional | None (both parts) | $52.48 | $61.66 | $70.79 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $34.67 | $44.67 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $27.54 Typical High $30.90 | Professional | TC · Technical part | $15.49 | $27.54 | $30.90 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $23.99 | $51.29 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $16.98 | $29.51 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $5.75 Median $16.98 Typical High $33.88 | Professional | TC · Technical part | $5.75 | $16.98 | $33.88 |
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 $12.88 Median $26.30 Typical High $77.62 | Facility | 52 · Reduced service | $12.88 | $26.30 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $10.47 Typical High $30.90 | Facility | 53 · Discontinued | $5.13 | $10.47 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.42 Typical High $81.28 | Professional | 52 · Reduced service | $20.42 | $20.42 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $32.36 | Professional | 53 · Discontinued | $8.13 | $8.13 | $32.36 |
Where Ohio sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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
$44.67
AK $141LA $30.20
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.