How much rates vary
Facilitymedian $182 · 10th to 90th $98 to $417Professionalmedian $98 · 10th to 90th $50 to $195
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 $97.72 Median $275.42 Typical High $416.87 | Facility | None | $97.72 | $275.42 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $70.79 Typical High $117.49 | Facility | 26 · Professional part | $25.70 | $70.79 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $245.47 | Facility | TC · Technical part | $87.10 | $158.49 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $416.87 | Professional | None (both parts) | $97.72 | $102.33 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $190.55 | Professional | 26 · Professional part | $25.70 | $26.92 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $245.47 | Professional | TC · Technical part | $74.13 | $74.13 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $40.74 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $57.54 Typical High $158.49 | Professional | None (both parts) | $53.70 | $57.54 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $42.66 | Professional | 26 · Professional part | $14.79 | $16.60 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $40.74 Typical High $114.82 | Professional | TC · Technical part | $38.90 | $40.74 | $114.82 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $446.68 | Facility | None | $91.20 | $112.20 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $66.07 Typical High $173.78 | Professional | None (both parts) | $58.88 | $66.07 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $46.77 | Professional | 26 · Professional part | $15.49 | $17.78 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $128.82 | Professional | TC · Technical part | $42.66 | $47.86 | $128.82 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $446.68 | Facility | None | $100.00 | $123.03 | $446.68 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $58.88 Median $66.07 Typical High $169.82 | Professional | None (both parts) | $58.88 | $66.07 | $169.82 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $48.98 | Professional | 26 · Professional part | $15.49 | $17.78 | $48.98 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $125.89 | Professional | TC · Technical part | $43.65 | $47.86 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $42.66 | $123.03 | $194.98 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $123.03 | $144.54 | $186.21 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $38.02 | $48.98 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $91.20 | $107.15 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $58.88 | $123.03 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $16.98 | $31.62 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $89.13 Typical High $134.90 | Professional | TC · Technical part | $41.69 | $89.13 | $134.90 |
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 $45.71 Median $66.07 Typical High $120.23 | Facility | 52 · Reduced service | $45.71 | $66.07 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $26.30 Typical High $47.86 | Facility | 53 · Discontinued | $18.20 | $26.30 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $144.54 | Professional | 52 · Reduced service | $48.98 | $48.98 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $57.54 | Professional | 53 · Discontinued | $19.95 | $19.95 | $57.54 |
Where Ohio sits
The same service costs 5.5 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· 43rd of 51
$100
AK $380AL $69.18
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.