How much rates vary
Facilitymedian $457 · 10th to 90th $105 to $10,233Professionalmedian $178 · 10th to 90th $83 to $339
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 $302.00 Median $1,000.00 Typical High $12,589.25 | Facility | None | $302.00 | $1,000.00 | $12,589.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $213.80 Typical High $263.03 | Facility | 26 · Professional part | $117.49 | $213.80 | $263.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $288.40 | Facility | TC · Technical part | $87.10 | $158.49 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $2,454.71 | Professional | None (both parts) | $165.96 | $204.17 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $239.88 | Professional | 26 · Professional part | $79.43 | $93.33 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $239.88 | Professional | TC · Technical part | $87.10 | $87.10 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $138.04 | $177.83 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $67.61 | $81.28 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $79.43 | $97.72 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $100.00 Typical High $190.55 | Facility | None | $91.20 | $100.00 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $158.49 | $213.80 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $102.33 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $112.20 | $181.97 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $1,584.89 | Facility | None | $251.19 | $251.19 | $1,584.89 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $158.49 | $213.80 | $331.13 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $102.33 | $151.36 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $112.20 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $64.57 | $81.28 | $128.82 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $186.21 | $204.17 | $281.84 |
United Setting Facility Modifier None Typical Low $97.72 Median $257.04 Typical High $2,398.83 | Facility | None | $97.72 | $257.04 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $478.63 | Professional | None (both parts) | $169.82 | $218.78 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $75.86 | $97.72 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $281.84 | Professional | TC · Technical part | $91.20 | $120.23 | $281.84 |
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 $83.18 Median $83.18 Typical High $213.80 | Professional | 52 · Reduced service | $83.18 | $83.18 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $85.11 | Professional | 53 · Discontinued | $33.11 | $33.11 | $85.11 |
Where Ohio sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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
$186
WI $562HI $132
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.