How much rates vary
Facilitymedian $324 · 10th to 90th $115 to $389Professionalmedian $107 · 10th to 90th $55 to $166
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 $316.23 Typical High $389.05 | Facility | None | $114.82 | $316.23 | $389.05 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $158.49 Typical High $194.98 | Facility | 26 · Professional part | $57.54 | $158.49 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $162.18 Typical High $194.98 | Facility | TC · Technical part | $57.54 | $162.18 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $363.08 | Professional | None (both parts) | $114.82 | $114.82 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $190.55 | Professional | 26 · Professional part | $57.54 | $57.54 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $134.90 | Professional | TC · Technical part | $57.54 | $57.54 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $91.20 | $107.15 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $58.88 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $72.44 | Professional | TC · Technical part | $38.90 | $45.71 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $102.33 | $138.04 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $74.13 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $46.77 | $63.10 | $100.00 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $91.20 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $91.20 | $138.04 | $218.78 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $74.13 | $120.23 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $46.77 | $63.10 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $42.66 | $83.18 | $138.04 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $91.20 | $114.82 | $134.90 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $54.95 | $64.57 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $69.18 | Professional | TC · Technical part | $47.86 | $58.88 | $69.18 |
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 $93.33 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $93.33 | $131.83 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $67.61 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $61.66 Typical High $97.72 | Professional | TC · Technical part | $42.66 | $61.66 | $97.72 |
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 $181.97 | Professional | 52 · Reduced service | $57.54 | $57.54 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $72.44 | Professional | 53 · Discontinued | $22.91 | $22.91 | $72.44 |
Where Ohio sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 46th of 51
$107
MN $269UT $70.79
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.