How much rates vary
Facilitymedian $81 · 10th to 90th $30 to $1,380Professionalmedian $33 · 10th to 90th $26 to $69
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 $30.20 Median $30.20 Typical High $117.49 | Facility | None | $30.20 | $30.20 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $54.95 | Professional | None (both parts) | $30.20 | $30.20 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.30 Typical High $52.48 | Professional | 26 · Professional part | $9.55 | $12.30 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $42.66 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $41.69 | $72.44 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $11.48 | $11.48 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $58.88 | $58.88 | $67.61 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None (both parts) | $8.51 | $8.51 | $8.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $50.12 | Professional | None (both parts) | $26.30 | $26.30 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.22 Typical High $14.79 | Professional | 26 · Professional part | $9.55 | $11.22 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $37.15 | Professional | TC · Technical part | $15.14 | $15.14 | $37.15 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $42.66 | Professional | None (both parts) | $26.30 | $33.11 | $42.66 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.22 Typical High $14.79 | Professional | 26 · Professional part | $9.55 | $11.22 | $14.79 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $37.15 | Professional | TC · Technical part | $15.14 | $15.14 | $37.15 |
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 $29.51 Median $38.02 Typical High $91.20 | Professional | None (both parts) | $29.51 | $38.02 | $91.20 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $12.59 | $15.14 | $15.14 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $79.43 | Professional | TC · Technical part | $16.98 | $21.88 | $79.43 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,513.56 | Facility | None | $912.01 | $1,071.52 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $40.74 | $50.12 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $9.77 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $57.54 | Professional | TC · Technical part | $33.11 | $40.74 | $57.54 |
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 $14.79 Median $14.79 Typical High $26.30 | Professional | 52 · Reduced service | $14.79 | $14.79 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $10.72 | Professional | 53 · Discontinued | $6.03 | $6.03 | $10.72 |
Where Ohio sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 51st of 51
$33.11
AK $110OH $33.11
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.