How much rates vary
Facilitymedian $115 · 10th to 90th $93 to $457Professionalmedian $93 · 10th to 90th $45 to $178
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 $95.50 Median $95.50 Typical High $562.34 | Facility | None | $95.50 | $95.50 | $562.34 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $125.89 Typical High $208.93 | Facility | TC · Technical part | $69.18 | $125.89 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $380.19 | Professional | None (both parts) | $95.50 | $95.50 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $275.42 | Professional | 26 · Professional part | $25.12 | $25.12 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $123.03 | Professional | None (both parts) | $44.67 | $44.67 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $39.81 | Professional | 26 · Professional part | $13.49 | $13.49 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $95.50 | Professional | TC · Technical part | $30.90 | $30.90 | $95.50 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $114.82 Typical High $354.81 | Facility | None | $93.33 | $114.82 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $162.18 | Professional | None (both parts) | $54.95 | $60.26 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.60 Typical High $45.71 | Professional | 26 · Professional part | $15.49 | $16.60 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $120.23 | Professional | TC · Technical part | $38.02 | $43.65 | $120.23 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $102.33 Median $117.49 Typical High $354.81 | Facility | None | $102.33 | $117.49 | $354.81 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $162.18 | Professional | None (both parts) | $54.95 | $60.26 | $162.18 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.60 Typical High $44.67 | Professional | 26 · Professional part | $15.49 | $16.60 | $44.67 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $120.23 | Professional | TC · Technical part | $38.02 | $43.65 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $41.69 | $114.82 | $181.97 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $107.15 | $147.91 | $165.96 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $43.65 | Professional | 26 · Professional part | $33.11 | $38.90 | $43.65 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $123.03 | Professional | TC · Technical part | $69.18 | $109.65 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $44.67 | $102.33 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $15.85 | $31.62 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $28.84 | $64.57 | $123.03 |
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 $43.65 Median $63.10 Typical High $114.82 | Facility | 52 · Reduced service | $43.65 | $63.10 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $25.12 Typical High $45.71 | Facility | 53 · Discontinued | $17.38 | $25.12 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $190.55 | Professional | 52 · Reduced service | $47.86 | $47.86 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $75.86 | Professional | 53 · Discontinued | $19.05 | $19.05 | $75.86 |
Where Ohio sits
The same service costs 4.6 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· 42nd of 51
$95.50
AK $269AL $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.