How much rates vary
Facilitymedian $166 · 10th to 90th $78 to $240Professionalmedian $59 · 10th to 90th $33 to $105
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 $87.10 Median $165.96 Typical High $239.88 | Facility | None | $87.10 | $165.96 | $239.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $102.33 Typical High $125.89 | Facility | 26 · Professional part | $45.71 | $102.33 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $117.49 | Facility | TC · Technical part | $42.66 | $64.57 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $288.40 | Professional | None (both parts) | $72.44 | $72.44 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $144.54 | Professional | 26 · Professional part | $37.15 | $37.15 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $32.36 | $34.67 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $89.13 | Professional | None (both parts) | $48.98 | $57.54 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $38.02 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $36.31 | Professional | TC · Technical part | $16.60 | $19.50 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $83.18 Typical High $128.82 | Professional | None (both parts) | $60.26 | $83.18 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $47.86 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $23.99 | $34.67 | $50.12 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $93.33 | Facility | None | $72.44 | $72.44 | $93.33 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $58.88 Median $83.18 Typical High $128.82 | Professional | None (both parts) | $58.88 | $83.18 | $128.82 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $34.67 | $47.86 | $83.18 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $48.98 | Professional | TC · Technical part | $23.99 | $34.67 | $48.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $28.84 | $51.29 | $91.20 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $56.23 | $69.18 | $81.28 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $29.51 | $36.31 | $42.66 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $38.90 | Professional | TC · Technical part | $26.92 | $33.11 | $38.90 |
United Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $125.89 | Facility | None | $77.62 | $89.13 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $72.44 Typical High $125.89 | Professional | None (both parts) | $52.48 | $72.44 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $46.77 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $54.95 | Professional | TC · Technical part | $20.42 | $26.92 | $54.95 |
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 $36.31 Median $36.31 Typical High $144.54 | Professional | 52 · Reduced service | $36.31 | $36.31 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $57.54 | Professional | 53 · Discontinued | $14.45 | $14.45 | $57.54 |
Where Ohio sits
The same service costs 3.3 times more in Alaska 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· 47th of 51
$58.88
AK $162UT $48.98
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.