How much rates vary
Facilitymedian $50 · 10th to 90th $39 to $275Professionalmedian $40 · 10th to 90th $20 to $89
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 $50.12 Median $50.12 Typical High $524.81 | Facility | None | $50.12 | $50.12 | $524.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $56.23 Typical High $95.50 | Facility | TC · Technical part | $31.62 | $56.23 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $354.81 | Professional | None (both parts) | $50.12 | $50.12 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $380.19 | Professional | 26 · Professional part | $19.05 | $19.05 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $31.62 | $31.62 | $31.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $32.36 Typical High $72.44 | Professional | None (both parts) | $20.42 | $32.36 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $33.88 | Professional | 26 · Professional part | $11.48 | $11.48 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $60.26 | Professional | TC · Technical part | $20.42 | $20.42 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $47.86 Typical High $194.98 | Facility | None | $38.90 | $47.86 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $89.13 | Professional | None (both parts) | $29.51 | $35.48 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $34.67 | Professional | 26 · Professional part | $11.75 | $13.49 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $54.95 | Professional | TC · Technical part | $18.20 | $21.88 | $54.95 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $42.66 Median $50.12 Typical High $194.98 | Facility | None | $42.66 | $50.12 | $194.98 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $87.10 | Professional | None (both parts) | $29.51 | $35.48 | $87.10 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $32.36 | Professional | 26 · Professional part | $11.75 | $13.49 | $32.36 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $53.70 | Professional | TC · Technical part | $18.20 | $21.88 | $53.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.99 Median $44.67 Typical High $89.13 | Professional | None (both parts) | $23.99 | $44.67 | $89.13 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $63.10 | $74.13 | $87.10 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $32.36 | Professional | 26 · Professional part | $24.55 | $28.84 | $32.36 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $56.23 | Professional | TC · Technical part | $38.02 | $44.67 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $63.10 Typical High $109.65 | Professional | None (both parts) | $36.31 | $63.10 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $23.99 Typical High $40.74 | Professional | 26 · Professional part | $13.18 | $23.99 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $39.81 Typical High $69.18 | Professional | TC · Technical part | $23.44 | $39.81 | $69.18 |
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 $19.95 Median $29.51 Typical High $51.29 | Facility | 52 · Reduced service | $19.95 | $29.51 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $11.75 Typical High $20.89 | Facility | 53 · Discontinued | $7.94 | $11.75 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $177.83 | Professional | 52 · Reduced service | $25.12 | $25.12 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $70.79 | Professional | 53 · Discontinued | $10.23 | $10.23 | $70.79 |
Where Ohio sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 50th of 51
$41.69
AK $182TX $41.69
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.