How much rates vary
Facilitymedian $95 · 10th to 90th $52 to $135Professionalmedian $52 · 10th to 90th $35 to $69
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 $52.48 Median $95.50 Typical High $100.00 | Facility | None | $52.48 | $95.50 | $100.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $56.23 Typical High $77.62 | Facility | 26 · Professional part | $30.90 | $56.23 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $38.02 Typical High $39.81 | Facility | TC · Technical part | $21.88 | $38.02 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $77.62 | Professional | None (both parts) | $52.48 | $52.48 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $30.90 | $30.90 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | TC · Technical part | $21.88 | $21.88 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $64.57 | Professional | None (both parts) | $56.23 | $60.26 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $69.18 | Professional | None (both parts) | $38.02 | $51.29 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $37.15 | Professional | 26 · Professional part | $29.51 | $33.88 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $38.90 | Professional | TC · Technical part | $16.98 | $16.98 | $38.90 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $123.03 | Professional | None (both parts) | $54.95 | $54.95 | $123.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $23.44 | $33.88 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $46.77 | $51.29 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $28.18 | $29.51 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $26.92 | Professional | TC · Technical part | $18.20 | $21.88 | $26.92 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $47.86 Median $95.50 Typical High $338.84 | Facility | None | $47.86 | $95.50 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $51.29 | $54.95 | $54.95 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $28.18 | $29.51 | $47.86 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $25.70 | Professional | TC · Technical part | $18.62 | $21.88 | $25.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $25.12 | $43.65 | $81.28 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $69.18 | Professional | None (both parts) | $51.29 | $57.54 | $69.18 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $36.31 | $44.67 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $24.55 Typical High $29.51 | Professional | TC · Technical part | $16.22 | $24.55 | $29.51 |
United Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $199.53 | Facility | None | $120.23 | $141.25 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $64.57 | Professional | None (both parts) | $38.90 | $45.71 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $23.99 | $29.51 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $16.98 Typical High $25.70 | Professional | TC · Technical part | $12.30 | $16.98 | $25.70 |
2 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 $26.30 Median $26.30 Typical High $34.67 | Professional | 52 · Reduced service | $26.30 | $26.30 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $14.13 | Professional | 53 · Discontinued | $10.47 | $10.47 | $14.13 |
Where Ohio sits
The same service costs 3.7 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· 46th of 51
$52.48
AK $170FL $45.71
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.