How much rates vary
Facilitymedian $95 · 10th to 90th $35 to $363Professionalmedian $35 · 10th to 90th $20 to $59
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 $32.36 Median $79.43 Typical High $123.03 | Facility | None | $32.36 | $79.43 | $123.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $27.54 Typical High $46.77 | Facility | 26 · Professional part | $11.48 | $27.54 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $51.29 Typical High $77.62 | Facility | TC · Technical part | $20.89 | $51.29 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $102.33 | Professional | None (both parts) | $28.84 | $35.48 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $38.02 | Professional | 26 · Professional part | $10.00 | $12.59 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $61.66 | Professional | TC · Technical part | $18.62 | $20.89 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $32.36 Typical High $38.02 | Professional | None (both parts) | $28.84 | $32.36 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.13 Typical High $18.62 | Professional | 26 · Professional part | $9.77 | $14.13 | $18.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.95 Median $34.67 Typical High $52.48 | Professional | None (both parts) | $19.95 | $34.67 | $52.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.79 Typical High $25.12 | Professional | 26 · Professional part | $12.02 | $14.79 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $38.02 | Professional | TC · Technical part | $16.60 | $21.88 | $38.02 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.77 Median $18.62 Typical High $34.67 | Professional | None (both parts) | $9.77 | $18.62 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $29.51 | $35.48 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $13.80 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $18.20 | $22.91 | $38.02 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $79.43 Median $338.84 Typical High $446.68 | Facility | None | $79.43 | $338.84 | $446.68 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $30.90 | $35.48 | $63.10 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $30.90 | Professional | 26 · Professional part | $11.22 | $13.80 | $30.90 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $19.50 | $22.91 | $38.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $26.92 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $33.11 | $38.90 | $54.95 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $18.62 | Professional | 26 · Professional part | $11.22 | $13.18 | $18.62 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $21.88 | $25.70 | $36.31 |
United Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $436.52 | Facility | None | $263.03 | $309.03 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $72.44 | Professional | None (both parts) | $30.20 | $38.02 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $28.84 | Professional | 26 · Professional part | $11.75 | $14.79 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $46.77 | Professional | TC · Technical part | $19.05 | $23.44 | $46.77 |
3 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 Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $58.88 | Professional | 52 · Reduced service | $14.45 | $14.45 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $23.44 | Professional | 53 · Discontinued | $5.75 | $5.75 | $23.44 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | SA · Nurse practitioner | $24.55 | $24.55 | $24.55 |
Where Ohio sits
The same service costs 2.7 times more in Alaska than in Florida. 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
$34.67
AK $83.18FL $30.90
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.