How much rates vary
Facilitymedian $56 · 10th to 90th $17 to $158Professionalmedian $18 · 10th to 90th $14 to $44
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 $16.98 Median $46.77 Typical High $57.54 | Facility | None | $16.98 | $46.77 | $57.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $38.90 Typical High $47.86 | Facility | 26 · Professional part | $13.49 | $38.90 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $3.39 Median $8.91 Typical High $11.48 | Facility | TC · Technical part | $3.39 | $8.91 | $11.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $16.98 Typical High $21.88 | Professional | None (both parts) | $16.98 | $16.98 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | 26 · Professional part | $13.49 | $13.49 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.39 Typical High $3.55 | Professional | TC · Technical part | $3.39 | $3.39 | $3.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $17.78 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $17.78 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $14.45 | $14.45 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $8.91 | $29.51 | $29.51 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None (both parts) | $3.63 | $3.63 | $3.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $19.95 | Professional | None (both parts) | $14.45 | $14.45 | $19.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $11.48 | $11.48 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $2.88 Typical High $3.98 | Professional | TC · Technical part | $2.57 | $2.88 | $3.98 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $19.95 | Professional | None (both parts) | $14.45 | $14.45 | $19.95 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $11.48 | $11.48 | $15.49 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $2.88 Typical High $3.89 | Professional | TC · Technical part | $2.57 | $2.88 | $3.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.27 Median $5.50 Typical High $18.20 | Professional | None (both parts) | $4.27 | $5.50 | $18.20 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $14.45 Median $17.78 Typical High $20.89 | Professional | None (both parts) | $14.45 | $17.78 | $20.89 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.13 Typical High $16.60 | Professional | 26 · Professional part | $11.48 | $14.13 | $16.60 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $3.55 Typical High $4.17 | Professional | TC · Technical part | $2.88 | $3.55 | $4.17 |
United Setting Facility Modifier None Typical Low $263.03 Median $309.03 Typical High $436.52 | Facility | None | $263.03 | $309.03 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $12.59 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $12.59 | $30.20 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $9.12 | $11.48 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $7.24 Typical High $28.84 | Professional | TC · Technical part | $2.29 | $7.24 | $28.84 |
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 $8.51 Median $8.51 Typical High $10.00 | Professional | 52 · Reduced service | $8.51 | $8.51 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.07 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.07 |
Where Ohio sits
The same service costs 2.5 times more in California than in Texas. 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· 38th of 51
$18.20
CA $40.74TX $16.22
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.