How much rates vary
Facilitymedian $295 · 10th to 90th $132 to $513Professionalmedian $132 · 10th to 90th $76 to $240
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 $131.83 Median $295.12 Typical High $446.68 | Facility | None | $131.83 | $295.12 | $446.68 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $117.49 Typical High $144.54 | Facility | 26 · Professional part | $35.48 | $117.49 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $323.59 | Facility | TC · Technical part | $97.72 | $151.36 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $338.84 | Professional | None (both parts) | $131.83 | $141.25 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $117.49 | Professional | 26 · Professional part | $35.48 | $43.65 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $97.72 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $151.36 | $181.97 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $87.10 | $120.23 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $42.66 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $79.43 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $38.90 | $107.15 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $75.86 | $147.91 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $45.71 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $42.66 | $104.71 | $173.78 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $616.60 Median $630.96 Typical High $676.08 | Facility | None | $616.60 | $630.96 | $676.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $75.86 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $75.86 | $147.91 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $44.67 | $85.11 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $42.66 | $104.71 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $67.61 | $141.25 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $158.49 | $173.78 | $223.87 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $46.77 | $64.57 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $151.36 | Professional | TC · Technical part | $114.82 | $125.89 | $151.36 |
United Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $741.31 | Facility | None | $446.68 | $512.86 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $123.03 Typical High $257.04 | Professional | None (both parts) | $85.11 | $123.03 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $43.65 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $46.77 | $74.13 | $162.18 |
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 $60.26 Median $66.07 Typical High $144.54 | Professional | 52 · Reduced service | $60.26 | $66.07 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.30 Typical High $57.54 | Professional | 53 · Discontinued | $23.99 | $26.30 | $57.54 |
Where Ohio sits
The same service costs 3.2 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· 41st of 51
$132
AK $347NY $107
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.