How much rates vary
Facilitymedian $617 · 10th to 90th $309 to $1,259Professionalmedian $224 · 10th to 90th $138 to $339
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 $275.42 Median $616.60 Typical High $758.58 | Facility | None | $275.42 | $616.60 | $758.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $173.78 Typical High $218.78 | Facility | 26 · Professional part | $79.43 | $173.78 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $436.52 Typical High $537.03 | Facility | TC · Technical part | $194.98 | $436.52 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $758.58 | Professional | None (both parts) | $223.87 | $223.87 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $218.78 | Professional | 26 · Professional part | $64.57 | $64.57 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $158.49 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $165.96 | $288.40 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $83.18 | Professional | 26 · Professional part | $61.66 | $67.61 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $177.83 | $213.80 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $69.18 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $147.91 | $239.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $57.54 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $57.54 | $144.54 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $213.80 | $288.40 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $83.18 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $151.36 | $204.17 | $302.00 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $2,511.89 | Facility | None | $851.14 | $1,258.93 | $2,511.89 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $213.80 | $288.40 | $416.87 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $83.18 | $123.03 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $302.00 | Professional | TC · Technical part | $151.36 | $204.17 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $46.77 | $194.98 | $295.12 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $213.80 | $213.80 | $316.23 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $61.66 | $93.33 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $154.88 | $213.80 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,862.09 | Facility | None | $1,122.02 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $199.53 | $239.88 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $57.54 | $72.44 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $302.00 | Professional | TC · Technical part | $138.04 | $173.78 | $302.00 |
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 $112.20 Median $112.20 Typical High $467.74 | Professional | 52 · Reduced service | $112.20 | $112.20 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $186.21 | Professional | 53 · Discontinued | $44.67 | $44.67 | $186.21 |
Where Ohio sits
The same service costs 3.5 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
$224
AK $562UT $158
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.