How much rates vary
Facilitymedian $178 · 10th to 90th $178 to $832Professionalmedian $245 · 10th to 90th $158 to $389
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 $177.83 Median $177.83 Typical High $831.76 | Facility | None | $177.83 | $177.83 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $741.31 | Professional | None (both parts) | $177.83 | $177.83 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $309.03 | Professional | 26 · Professional part | $93.33 | $93.33 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $87.10 | $87.10 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $208.93 | $245.47 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $75.86 | $95.50 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $125.89 | $151.36 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $173.78 | $229.09 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $181.97 | Professional | 26 · Professional part | $89.13 | $120.23 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $112.20 | $186.21 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $173.78 | $229.09 | $363.08 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $120.23 | $177.83 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $112.20 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $74.13 | $123.03 | $177.83 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $87.10 | $87.10 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $234.42 | $302.00 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $107.15 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $151.36 | $194.98 | $346.74 |
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 $89.13 Median $89.13 Typical High $389.05 | Professional | 52 · Reduced service | $89.13 | $89.13 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $154.88 | Professional | 53 · Discontinued | $35.48 | $35.48 | $154.88 |
Where Ohio sits
The same service costs 3.1 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· 38th of 51
$245
AK $537NY $174
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.