How much rates vary
Facilitymedian $302 · 10th to 90th $123 to $759Professionalmedian $110 · 10th to 90th $60 to $170
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 $100.00 Median $186.21 Typical High $338.84 | Facility | None | $100.00 | $186.21 | $338.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $47.86 Typical High $85.11 | Facility | 26 · Professional part | $26.30 | $47.86 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $138.04 Typical High $251.19 | Facility | TC · Technical part | $74.13 | $138.04 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $309.03 | Professional | None (both parts) | $100.00 | $109.65 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $70.79 | Professional | 26 · Professional part | $26.30 | $28.18 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $77.62 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $79.43 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $33.88 | Professional | 26 · Professional part | $19.50 | $24.55 | $33.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $95.50 | $112.20 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $29.51 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $66.07 | $77.62 | $120.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.91 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $22.91 | $67.61 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $91.20 | $120.23 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $33.11 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $87.10 | $154.88 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $1,096.48 | Facility | None | $309.03 | $575.44 | $1,096.48 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $91.20 | $120.23 | $194.98 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $33.11 | $54.95 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $87.10 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $87.10 Typical High $141.25 | Professional | None (both parts) | $42.66 | $87.10 | $141.25 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $97.72 | $114.82 | $169.82 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $29.51 | $46.77 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $85.11 | $125.89 |
United Setting Facility Modifier None Typical Low $489.78 Median $575.44 Typical High $812.83 | Facility | None | $489.78 | $575.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $89.13 | $120.23 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $30.90 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $91.20 | $138.04 |
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 $50.12 Median $50.12 Typical High $213.80 | Professional | 52 · Reduced service | $50.12 | $50.12 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $85.11 | Professional | 53 · Discontinued | $19.95 | $19.95 | $85.11 |
Where Ohio sits
The same service costs 3.8 times more in Minnesota 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
$110
MN $275UT $72.44
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.