How much rates vary
Facilitymedian $54 · 10th to 90th $16 to $324Professionalmedian $16 · 10th to 90th $13 to $39
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 $15.85 Median $43.65 Typical High $53.70 | Facility | None | $15.85 | $43.65 | $53.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $36.31 Typical High $44.67 | Facility | 26 · Professional part | $12.59 | $36.31 | $44.67 |
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 $15.85 Median $15.85 Typical High $20.89 | Professional | None (both parts) | $15.85 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | 26 · Professional part | $12.59 | $12.59 | $14.79 |
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 $12.88 Median $22.91 Typical High $38.90 | Professional | None (both parts) | $12.88 | $22.91 | $38.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $12.30 | $12.88 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $7.76 | $26.30 | $26.30 |
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 $13.49 Median $13.49 Typical High $18.62 | Professional | None (both parts) | $13.49 | $13.49 | $18.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $14.45 | Professional | 26 · Professional part | $10.72 | $10.72 | $14.45 |
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 Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $660.69 | Facility | None | $323.59 | $323.59 | $660.69 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $18.62 | Professional | None (both parts) | $13.49 | $13.49 | $18.62 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $15.85 | Professional | 26 · Professional part | $10.72 | $10.72 | $15.85 |
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 $3.98 Median $5.13 Typical High $16.98 | Professional | None (both parts) | $3.98 | $5.13 | $16.98 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $13.49 Median $16.98 Typical High $19.50 | Professional | None (both parts) | $13.49 | $16.98 | $19.50 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.18 Typical High $15.49 | Professional | 26 · Professional part | $10.72 | $13.18 | $15.49 |
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 $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 $11.75 Median $26.92 Typical High $38.02 | Professional | None (both parts) | $11.75 | $26.92 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $15.85 | Professional | 26 · Professional part | $8.32 | $10.23 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $6.61 Typical High $28.18 | Professional | TC · Technical part | $2.29 | $6.61 | $28.18 |
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 $7.94 Median $7.94 Typical High $9.55 | Professional | 52 · Reduced service | $7.94 | $7.94 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.80 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.80 |
Where Ohio sits
The same service costs 2.6 times more in California than in New York. 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· 45th of 51
$15.85
CA $38.02NY $14.45
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.