How much rates vary
Facilitymedian $120 · 10th to 90th $32 to $263Professionalmedian $34 · 10th to 90th $28 to $59
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 $32.36 Median $32.36 Typical High $263.03 | Facility | None | $32.36 | $32.36 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $263.03 | Professional | None (both parts) | $32.36 | $32.36 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $104.71 | Professional | 26 · Professional part | $13.18 | $13.18 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | TC · Technical part | $19.50 | $19.50 | $19.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $51.29 | Professional | None (both parts) | $28.84 | $33.88 | $51.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $19.05 | Professional | 26 · Professional part | $10.72 | $12.59 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $34.67 | Professional | TC · Technical part | $18.20 | $21.88 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $83.18 | Professional | None (both parts) | $28.18 | $37.15 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $16.22 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.89 Typical High $47.86 | Professional | TC · Technical part | $15.85 | $20.89 | $47.86 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $85.11 | Professional | None (both parts) | $27.54 | $37.15 | $85.11 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $16.22 | $25.12 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.89 Typical High $47.86 | Professional | TC · Technical part | $15.85 | $20.89 | $47.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $25.70 | $36.31 | $53.70 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $38.02 | Professional | None (both parts) | $26.30 | $32.36 | $38.02 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.59 Typical High $14.79 | Professional | 26 · Professional part | $10.23 | $12.59 | $14.79 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $23.44 | Professional | TC · Technical part | $16.22 | $19.95 | $23.44 |
United Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $199.53 | Facility | None | $120.23 | $141.25 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $40.74 Typical High $69.18 | Professional | None (both parts) | $25.70 | $40.74 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $10.72 | $14.45 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $14.79 | $23.99 | $45.71 |
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 $16.22 Median $16.22 Typical High $131.83 | Professional | 52 · Reduced service | $16.22 | $16.22 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $52.48 | Professional | 53 · Discontinued | $6.46 | $6.46 | $52.48 |
Where Ohio sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 39th of 51
$33.88
MN $74.13AL $28.18
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.