How much rates vary
Facilitymedian $81 · 10th to 90th $44 to $182Professionalmedian $44 · 10th to 90th $30 to $54
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $43.65 Median $43.65 Typical High $97.72 | Facility | None | $43.65 | $43.65 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $54.95 | Professional | None (both parts) | $43.65 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $9.33 | Professional | 26 · Professional part | $7.08 | $7.08 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $42.66 | Professional | TC · Technical part | $37.15 | $37.15 | $42.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.20 Median $33.88 Typical High $63.10 | Professional | None (both parts) | $18.20 | $33.88 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $12.02 | Professional | 26 · Professional part | $8.51 | $8.51 | $12.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $38.02 | Professional | TC · Technical part | $22.91 | $26.92 | $38.02 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None (both parts) | $9.12 | $9.12 | $9.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $56.23 | Professional | None (both parts) | $38.02 | $43.65 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.24 Typical High $9.77 | Professional | 26 · Professional part | $6.92 | $7.24 | $9.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $30.90 | $36.31 | $45.71 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $42.66 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $42.66 | $46.77 | $46.77 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.24 Typical High $9.33 | Professional | 26 · Professional part | $6.92 | $7.24 | $9.33 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $30.90 | $36.31 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $25.12 | $31.62 | $50.12 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $53.70 | Professional | None (both parts) | $38.02 | $43.65 | $53.70 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $11.22 | Professional | 26 · Professional part | $7.94 | $10.47 | $11.22 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $28.84 | $36.31 | $44.67 |
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 $27.54 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $27.54 | $37.15 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.24 Typical High $9.33 | Professional | 26 · Professional part | $5.89 | $7.24 | $9.33 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $44.67 | Professional | TC · Technical part | $21.38 | $28.84 | $44.67 |
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 $21.88 Median $21.88 Typical High $26.92 | Professional | 52 · Reduced service | $21.88 | $21.88 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $10.72 | Professional | 53 · Discontinued | $8.71 | $8.71 | $10.72 |
Where Ohio sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 43rd of 51
$43.65
AK $135NJ $38.90
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.