How much rates vary
Facilitymedian $437 · 10th to 90th $263 to $1,072Professionalmedian $158 · 10th to 90th $102 to $245
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 $251.19 Median $416.87 Typical High $537.03 | Facility | None | $251.19 | $416.87 | $537.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $100.00 Typical High $125.89 | Facility | 26 · Professional part | $60.26 | $100.00 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $316.23 Typical High $407.38 | Facility | TC · Technical part | $147.91 | $316.23 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $537.03 | Professional | None (both parts) | $147.91 | $158.49 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $125.89 | Professional | 26 · Professional part | $38.02 | $38.02 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $316.23 | Professional | TC · Technical part | $109.65 | $120.23 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $117.49 | $151.36 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $109.65 | $131.83 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $39.81 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $85.11 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $141.25 | $190.55 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $47.86 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $147.91 | $204.17 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $436.52 Median $1,071.52 Typical High $1,659.59 | Facility | None | $436.52 | $1,071.52 | $1,659.59 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $141.25 | $186.21 | $245.47 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $47.86 | $70.79 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $177.83 | Professional | TC · Technical part | $109.65 | $147.91 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $42.66 | $158.49 | $245.47 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $151.36 | $151.36 | $199.53 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $35.48 | $35.48 | $53.70 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $114.82 | $114.82 | $147.91 |
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 $123.03 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $123.03 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $41.69 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $208.93 | Professional | TC · Technical part | $87.10 | $117.49 | $208.93 |
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 $79.43 Median $79.43 Typical High $346.74 | Professional | 52 · Reduced service | $79.43 | $79.43 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $138.04 | Professional | 53 · Discontinued | $31.62 | $31.62 | $138.04 |
Where Ohio sits
The same service costs 3.0 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· 43rd of 51
$158
AK $380UT $129
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.