How much rates vary
Facilitymedian $89 · 10th to 90th $28 to $110Professionalmedian $30 · 10th to 90th $26 to $47
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 $27.54 Median $89.13 Typical High $109.65 | Facility | None | $27.54 | $89.13 | $109.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $43.65 Typical High $53.70 | Facility | 26 · Professional part | $13.49 | $43.65 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $14.13 Median $45.71 Typical High $54.95 | Facility | TC · Technical part | $14.13 | $45.71 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $43.65 | Professional | None (both parts) | $27.54 | $27.54 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $19.05 | Professional | 26 · Professional part | $13.49 | $13.49 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | TC · Technical part | $14.13 | $14.13 | $17.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $38.02 | Professional | None (both parts) | $31.62 | $31.62 | $38.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $70.79 | Professional | None (both parts) | $33.88 | $46.77 | $70.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.38 Typical High $19.50 | Professional | 26 · Professional part | $16.22 | $17.38 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $42.66 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $42.66 | $52.48 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None (both parts) | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $25.70 | $26.92 | $36.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $12.30 | $12.88 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $14.13 Typical High $19.05 | Professional | TC · Technical part | $13.18 | $14.13 | $19.05 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $26.92 | $29.51 | $29.51 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $12.30 | $12.88 | $16.60 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $14.13 Typical High $19.05 | Professional | TC · Technical part | $13.18 | $14.13 | $19.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $22.91 | $30.90 | $48.98 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $33.88 | Professional | None (both parts) | $26.92 | $33.11 | $33.88 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $16.98 | Professional | 26 · Professional part | $12.88 | $15.85 | $16.98 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $16.98 Typical High $17.38 | Professional | TC · Technical part | $14.13 | $16.98 | $17.38 |
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 $22.91 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $22.91 | $32.36 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $17.78 | Professional | 26 · Professional part | $11.22 | $13.80 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $20.42 Typical High $26.30 | Professional | TC · Technical part | $11.48 | $20.42 | $26.30 |
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 $13.80 Median $13.80 Typical High $19.05 | Professional | 52 · Reduced service | $13.80 | $13.80 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $7.76 | Professional | 53 · Discontinued | $5.50 | $5.50 | $7.76 |
Where Ohio sits
The same service costs 3.4 times more in Alaska than in New York. 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
$29.51
AK $87.10NY $25.70
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.