How much rates vary
Facilitymedian $240 · 10th to 90th $129 to $550Professionalmedian $129 · 10th to 90th $59 to $234
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 $128.82 Median $354.81 Typical High $537.03 | Facility | None | $128.82 | $354.81 | $537.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $79.43 Typical High $131.83 | Facility | 26 · Professional part | $28.84 | $79.43 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $213.80 Typical High $338.84 | Facility | TC · Technical part | $109.65 | $213.80 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $436.52 | Professional | None (both parts) | $128.82 | $128.82 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $131.83 | Professional | 26 · Professional part | $28.84 | $28.84 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $100.00 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $26.30 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $204.17 | Professional | None (both parts) | $70.79 | $70.79 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $60.26 | Professional | 26 · Professional part | $16.60 | $16.60 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $158.49 | Professional | TC · Technical part | $54.95 | $54.95 | $158.49 |
Aultcare Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $323.59 | Professional | None (both parts) | $128.82 | $128.82 | $323.59 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $35.48 | $120.23 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $575.44 | Facility | None | $128.82 | $162.18 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $81.28 Typical High $234.42 | Professional | None (both parts) | $75.86 | $81.28 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $52.48 | Professional | 26 · Professional part | $17.38 | $19.95 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $63.10 | $169.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $575.44 | Facility | None | $141.25 | $208.93 | $575.44 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $218.78 | Professional | None (both parts) | $79.43 | $81.28 | $218.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $54.95 | Professional | 26 · Professional part | $17.38 | $19.50 | $54.95 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $63.10 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $41.69 | $147.91 | $229.09 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $257.04 | Professional | None (both parts) | $169.82 | $199.53 | $257.04 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $37.15 | $43.65 | $60.26 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $109.65 | $154.88 | $199.53 |
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 $70.79 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $70.79 | $158.49 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $38.90 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $45.71 | $102.33 | $194.98 |
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 $61.66 Median $89.13 Typical High $162.18 | Facility | 52 · Reduced service | $61.66 | $89.13 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $35.48 Typical High $64.57 | Facility | 53 · Discontinued | $24.55 | $35.48 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $218.78 | Professional | 52 · Reduced service | $64.57 | $64.57 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $87.10 | Professional | 53 · Discontinued | $25.70 | $25.70 | $87.10 |
Where Ohio sits
The same service costs 7.1 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
$132
AK $417AL $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.