How much rates vary
Facilitymedian $59 · 10th to 90th $17 to $126Professionalmedian $15 · 10th to 90th $8 to $25
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $16.60 Median $16.60 Typical High $125.89 | Facility | None | $16.60 | $16.60 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $125.89 | Professional | None (both parts) | $16.60 | $16.60 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $64.57 | Professional | 26 · Professional part | $8.51 | $8.51 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | TC · Technical part | $8.13 | $8.13 | $8.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $8.32 Median $8.71 Typical High $20.42 | Professional | None (both parts) | $8.32 | $8.71 | $20.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $9.33 | $16.98 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $9.55 Typical High $19.50 | Professional | TC · Technical part | $6.61 | $9.55 | $19.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $20.42 Typical High $36.31 | Professional | None (both parts) | $14.79 | $20.42 | $36.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $18.20 | Professional | 26 · Professional part | $7.76 | $10.96 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $9.33 Typical High $18.20 | Professional | TC · Technical part | $7.08 | $9.33 | $18.20 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $14.79 Median $20.42 Typical High $36.31 | Professional | None (both parts) | $14.79 | $20.42 | $36.31 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.96 Typical High $18.20 | Professional | 26 · Professional part | $7.76 | $10.96 | $18.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $9.33 Typical High $18.20 | Professional | TC · Technical part | $7.08 | $9.33 | $18.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None (both parts) | $14.79 | $14.79 | $14.79 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $13.80 Median $16.98 Typical High $19.95 | Professional | None (both parts) | $13.80 | $16.98 | $19.95 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.51 Typical High $10.00 | Professional | 26 · Professional part | $6.92 | $8.51 | $10.00 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $8.32 Typical High $9.77 | Professional | TC · Technical part | $6.76 | $8.32 | $9.77 |
United Setting Facility Modifier None Typical Low $58.88 Median $69.18 Typical High $97.72 | Facility | None | $58.88 | $69.18 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $13.80 Median $20.42 Typical High $30.20 | Professional | None (both parts) | $13.80 | $20.42 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $7.24 | $10.47 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $9.55 Typical High $14.79 | Professional | TC · Technical part | $6.46 | $9.55 | $14.79 |
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 $8.32 Median $8.32 Typical High $63.10 | Professional | 52 · Reduced service | $8.32 | $8.32 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $25.12 | Professional | 53 · Discontinued | $3.31 | $3.31 | $25.12 |
Where Ohio sits
The same service costs 2.7 times more in Minnesota than in Florida. 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· 49th of 51
$15.49
MN $38.02FL $14.13
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.