How much rates vary
Facilitymedian $170 · 10th to 90th $81 to $275Professionalmedian $72 · 10th to 90th $34 to $138
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 $81.28 Median $169.82 Typical High $275.42 | Facility | None | $81.28 | $169.82 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $104.71 Typical High $128.82 | Facility | 26 · Professional part | $38.90 | $104.71 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $77.62 Typical High $144.54 | Facility | TC · Technical part | $42.66 | $77.62 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $208.93 | Professional | None (both parts) | $81.28 | $81.28 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $39.81 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $77.62 | Professional | TC · Technical part | $37.15 | $42.66 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $89.13 | $89.13 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $39.81 | Professional | 26 · Professional part | $35.48 | $35.48 | $39.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $61.66 | $72.44 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $47.86 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $24.55 | $40.74 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $95.50 | $95.50 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $45.71 Typical High $89.13 | Professional | None (both parts) | $34.67 | $45.71 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $61.66 | $89.13 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $50.12 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $39.81 | $60.26 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $251.19 | Facility | None | $79.43 | $123.03 | $251.19 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $61.66 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $61.66 | $89.13 | $134.90 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $50.12 | $112.20 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $39.81 | $60.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $51.29 Typical High $138.04 | Professional | None (both parts) | $28.84 | $51.29 | $138.04 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $63.10 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $63.10 | $77.62 | $102.33 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $30.20 | $38.02 | $50.12 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $46.77 | Professional | TC · Technical part | $32.36 | $39.81 | $46.77 |
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 $64.57 Typical High $181.97 | Professional | None (both parts) | $52.48 | $64.57 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $91.20 | Professional | 26 · Professional part | $32.36 | $39.81 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $27.54 Typical High $83.18 | Professional | TC · Technical part | $18.20 | $27.54 | $83.18 |
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 $40.74 Median $40.74 Typical High $93.33 | Professional | 52 · Reduced service | $40.74 | $40.74 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $38.02 | Professional | 53 · Discontinued | $16.22 | $16.22 | $38.02 |
Where Ohio sits
The same service costs 3.4 times more in Alaska than in New York. 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· 43rd of 51
$72.44
AK $182NY $53.70
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.