How much rates vary
Facilitymedian $234 · 10th to 90th $234 to $550Professionalmedian $234 · 10th to 90th $120 to $380
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 $234.42 Median $234.42 Typical High $549.54 | Facility | None | $234.42 | $234.42 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $234.42 | $234.42 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $257.04 | Professional | 26 · Professional part | $75.86 | $93.33 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $138.04 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $100.00 | $104.71 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $204.17 | $251.19 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $67.61 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $239.88 | Professional | TC · Technical part | $131.83 | $154.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $218.78 | $295.12 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $112.20 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $346.74 | Professional | TC · Technical part | $131.83 | $173.78 | $346.74 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $218.78 | $295.12 | $467.74 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $109.65 | $141.25 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $346.74 | Professional | TC · Technical part | $131.83 | $173.78 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $97.72 | $162.18 | $316.23 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $229.09 | $229.09 | $501.19 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $128.82 | Professional | 26 · Professional part | $91.20 | $91.20 | $128.82 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $331.13 | Professional | TC · Technical part | $138.04 | $138.04 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $208.93 | $281.84 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $91.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $125.89 | $190.55 | $288.40 |
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 $117.49 Median $117.49 Typical High $257.04 | Professional | 52 · Reduced service | $117.49 | $117.49 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $104.71 | Professional | 53 · Discontinued | $46.77 | $46.77 | $104.71 |
Where Ohio sits
The same service costs 4.7 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
$234
AK $589UT $126
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.