How much rates vary
Facilitymedian $162 · 10th to 90th $76 to $331Professionalmedian $72 · 10th to 90th $40 to $151
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 $109.65 Median $169.82 Typical High $251.19 | Facility | None | $109.65 | $169.82 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $60.26 Typical High $229.09 | Facility | 26 · Professional part | $33.11 | $60.26 | $229.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $102.33 Typical High $169.82 | Facility | TC · Technical part | $66.07 | $102.33 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $346.74 | Professional | None (both parts) | $89.13 | $89.13 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $229.09 | Professional | 26 · Professional part | $33.11 | $33.11 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $79.43 | Professional | TC · Technical part | $56.23 | $56.23 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $60.26 Typical High $138.04 | Professional | None (both parts) | $39.81 | $60.26 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $91.20 | Professional | 26 · Professional part | $22.39 | $22.39 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $45.71 Typical High $169.82 | Professional | TC · Technical part | $39.81 | $45.71 | $169.82 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $194.98 | Professional | None (both parts) | $75.86 | $75.86 | $194.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $66.07 Typical High $125.89 | Professional | None (both parts) | $39.81 | $66.07 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $93.33 Typical High $331.13 | Facility | None | $70.79 | $93.33 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $72.44 Typical High $165.96 | Professional | None (both parts) | $53.70 | $72.44 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $66.07 | Professional | 26 · Professional part | $19.95 | $25.12 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $102.33 | Professional | TC · Technical part | $33.88 | $43.65 | $102.33 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $75.86 Median $102.33 Typical High $331.13 | Facility | None | $75.86 | $102.33 | $331.13 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $165.96 | Professional | None (both parts) | $53.70 | $66.07 | $165.96 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $69.18 | Professional | 26 · Professional part | $19.95 | $23.99 | $69.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.02 Typical High $100.00 | Professional | TC · Technical part | $33.88 | $38.02 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $79.43 Typical High $134.90 | Professional | None (both parts) | $34.67 | $79.43 | $134.90 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $112.20 | $131.83 | $223.87 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $48.98 | $89.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $70.79 | $83.18 | $134.90 |
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 $72.44 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $72.44 | $120.23 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $45.71 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $75.86 Typical High $120.23 | Professional | TC · Technical part | $45.71 | $75.86 | $120.23 |
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 $39.81 Median $67.61 Typical High $125.89 | Facility | 52 · Reduced service | $39.81 | $67.61 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $26.92 Typical High $50.12 | Facility | 53 · Discontinued | $15.85 | $26.92 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $173.78 | Professional | 52 · Reduced service | $44.67 | $44.67 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $69.18 | Professional | 53 · Discontinued | $17.78 | $17.78 | $69.18 |
Where Ohio sits
The same service costs 4.5 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· 49th of 51
$77.62
AK $316AL $70.79
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.