How much rates vary
Facilitymedian $380 · 10th to 90th $115 to $468Professionalmedian $110 · 10th to 90th $33 to $195
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 $114.82 Median $380.19 Typical High $467.74 | Facility | None | $114.82 | $380.19 | $467.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $81.28 Typical High $154.88 | Facility | 26 · Professional part | $24.55 | $81.28 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $251.19 Typical High $309.03 | Facility | TC · Technical part | $91.20 | $251.19 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $380.19 | Professional | None (both parts) | $114.82 | $114.82 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $81.28 | Professional | 26 · Professional part | $24.55 | $24.55 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $251.19 | Professional | TC · Technical part | $87.10 | $91.20 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.44 Median $66.07 Typical High $138.04 | Professional | None (both parts) | $23.44 | $66.07 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $34.67 Typical High $54.95 | Professional | 26 · Professional part | $15.85 | $34.67 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $50.12 Typical High $131.83 | Professional | TC · Technical part | $23.99 | $50.12 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $85.11 | $131.83 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $34.67 Typical High $67.61 | Professional | 26 · Professional part | $20.42 | $34.67 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $100.00 Typical High $177.83 | Professional | TC · Technical part | $63.10 | $100.00 | $177.83 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $93.33 | $131.83 | $234.42 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $34.67 Typical High $64.57 | Professional | 26 · Professional part | $21.38 | $34.67 | $64.57 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $69.18 | $97.72 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $91.20 | $131.83 | $199.53 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $131.83 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $131.83 | $144.54 | $199.53 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $25.12 | $50.12 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $117.49 | $173.78 |
United Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $457.09 | Facility | None | $275.42 | $316.23 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $46.77 | $125.89 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $48.98 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $100.00 Typical High $208.93 | Professional | TC · Technical part | $50.12 | $100.00 | $208.93 |
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 $57.54 Median $57.54 Typical High $158.49 | Professional | 52 · Reduced service | $57.54 | $57.54 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $63.10 | Professional | 53 · Discontinued | $22.91 | $22.91 | $63.10 |
Where Ohio sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 48th of 51
$110
AK $363IN $69.18
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.