How much rates vary
Facilitymedian $513 · 10th to 90th $151 to $646Professionalmedian $224 · 10th to 90th $83 to $372
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 $151.36 Median $512.86 Typical High $645.65 | Facility | None | $151.36 | $512.86 | $645.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $128.82 Typical High $158.49 | Facility | 26 · Professional part | $38.90 | $128.82 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $380.19 Typical High $489.78 | Facility | TC · Technical part | $114.82 | $380.19 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $588.84 | Professional | None (both parts) | $151.36 | $151.36 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $38.90 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $114.82 | $114.82 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $144.54 | $239.88 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $56.23 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $102.33 | $186.21 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $144.54 | $251.19 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $35.48 | $52.48 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $346.74 | Professional | TC · Technical part | $109.65 | $190.55 | $346.74 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $457.09 | Professional | None (both parts) | $144.54 | $239.88 | $457.09 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $107.15 | Professional | 26 · Professional part | $35.48 | $52.48 | $107.15 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $186.21 Typical High $346.74 | Professional | TC · Technical part | $109.65 | $186.21 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $69.18 | $208.93 | $338.84 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $239.88 | $263.03 | $363.08 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $47.86 | $52.48 | $89.13 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $190.55 | $208.93 | $288.40 |
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 $165.96 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $165.96 | $213.80 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $52.48 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $162.18 | $302.00 |
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 $75.86 Median $75.86 Typical High $295.12 | Professional | 52 · Reduced service | $75.86 | $75.86 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $117.49 | Professional | 53 · Discontinued | $30.90 | $30.90 | $117.49 |
Where Ohio sits
The same service costs 3.0 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· 36th of 51
$229
AK $513FL $174
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.