How much rates vary
Facilitymedian $251 · 10th to 90th $132 to $468Professionalmedian $132 · 10th to 90th $63 to $257
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 $131.83 Median $275.42 Typical High $457.09 | Facility | None | $131.83 | $275.42 | $457.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $89.13 Typical High $147.91 | Facility | 26 · Professional part | $33.88 | $89.13 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $190.55 Typical High $338.84 | Facility | TC · Technical part | $117.49 | $190.55 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $446.68 | Professional | None (both parts) | $131.83 | $186.21 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $162.18 | Professional | 26 · Professional part | $32.36 | $48.98 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $331.13 | Professional | TC · Technical part | $100.00 | $120.23 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $85.11 Typical High $218.78 | Professional | None (both parts) | $74.13 | $85.11 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $66.07 | Professional | 26 · Professional part | $22.39 | $26.92 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $151.36 | Professional | TC · Technical part | $42.66 | $54.95 | $151.36 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $125.89 Median $288.40 Typical High $316.23 | Professional | None (both parts) | $125.89 | $288.40 | $316.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $38.90 | $117.49 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $165.96 Typical High $588.84 | Facility | None | $125.89 | $165.96 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $234.42 | Professional | None (both parts) | $77.62 | $85.11 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $63.10 | Professional | 26 · Professional part | $19.50 | $24.55 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $173.78 | Professional | TC · Technical part | $56.23 | $63.10 | $173.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $588.84 | Facility | None | $138.04 | $181.97 | $588.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $223.87 | Professional | None (both parts) | $77.62 | $85.11 | $223.87 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $79.43 | Professional | 26 · Professional part | $19.50 | $24.55 | $79.43 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $169.82 | Professional | TC · Technical part | $57.54 | $63.10 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $43.65 | $158.49 | $245.47 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $165.96 | $194.98 | $245.47 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $48.98 | $87.10 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $186.21 | Professional | TC · Technical part | $123.03 | $144.54 | $186.21 |
United Setting Facility Modifier None Typical Low $346.74 Median $407.38 Typical High $575.44 | Facility | None | $346.74 | $407.38 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $83.18 | $165.96 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $44.67 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $53.70 | $107.15 | $177.83 |
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 $58.88 Median $117.49 Typical High $186.21 | Facility | 52 · Reduced service | $58.88 | $117.49 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $47.86 Typical High $75.86 | Facility | 53 · Discontinued | $23.99 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $181.97 | Professional | 52 · Reduced service | $66.07 | $66.07 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $74.13 | Professional | 53 · Discontinued | $26.30 | $26.30 | $74.13 |
Where Ohio sits
The same service costs 4.9 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· 45th of 51
$138
AK $468AL $95.50
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.