How much rates vary
Facilitymedian $126 · 10th to 90th $39 to $151Professionalmedian $40 · 10th to 90th $32 to $60
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 $38.90 Median $125.89 Typical High $151.36 | Facility | None | $38.90 | $125.89 | $151.36 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $58.88 Typical High $70.79 | Facility | 26 · Professional part | $17.38 | $58.88 | $70.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $67.61 Typical High $81.28 | Facility | TC · Technical part | $21.38 | $67.61 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $66.07 | Professional | None (both parts) | $38.90 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $24.55 | Professional | 26 · Professional part | $17.38 | $17.38 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | TC · Technical part | $21.38 | $21.38 | $25.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $67.61 | Professional | None (both parts) | $51.29 | $60.26 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.88 Typical High $23.44 | Professional | 26 · Professional part | $19.50 | $21.88 | $23.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $38.90 Typical High $44.67 | Professional | TC · Technical part | $37.15 | $38.90 | $44.67 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $50.12 | Professional | None (both parts) | $35.48 | $38.02 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $16.22 | $16.98 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $28.18 | Professional | TC · Technical part | $19.50 | $20.89 | $28.18 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $169.82 | Facility | None | $123.03 | $123.03 | $169.82 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $38.02 | $39.81 | $39.81 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $16.22 | $16.98 | $21.88 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $28.18 | Professional | TC · Technical part | $19.50 | $20.89 | $28.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $23.99 | $30.90 | $48.98 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $38.02 Median $46.77 Typical High $54.95 | Professional | None (both parts) | $38.02 | $46.77 | $54.95 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $28.84 | Professional | 26 · Professional part | $16.98 | $20.89 | $28.84 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $31.62 | Professional | TC · Technical part | $20.89 | $25.70 | $31.62 |
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 $32.36 Median $43.65 Typical High $57.54 | Professional | None (both parts) | $32.36 | $43.65 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $21.88 | Professional | 26 · Professional part | $14.79 | $17.78 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.92 Typical High $38.02 | Professional | TC · Technical part | $16.98 | $26.92 | $38.02 |
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 $19.50 Median $19.50 Typical High $27.54 | Professional | 52 · Reduced service | $19.50 | $19.50 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $10.96 | Professional | 53 · Discontinued | $7.76 | $7.76 | $10.96 |
Where Ohio sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 47th of 51
$39.81
AK $123UT $36.31
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.