How much rates vary
Facilitymedian $79 · 10th to 90th $32 to $513Professionalmedian $42 · 10th to 90th $22 to $110
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 $28.18 Median $45.71 Typical High $79.43 | Facility | None | $28.18 | $45.71 | $79.43 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $3.24 Median $6.46 Typical High $10.96 | Facility | 26 · Professional part | $3.24 | $6.46 | $10.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $38.90 Typical High $69.18 | Facility | TC · Technical part | $23.99 | $38.90 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $26.92 Typical High $104.71 | Professional | None (both parts) | $23.44 | $26.92 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.39 Typical High $9.12 | Professional | 26 · Professional part | $3.24 | $3.39 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.89 Typical High $56.23 | Professional | TC · Technical part | $20.42 | $20.89 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.90 Typical High $45.71 | Professional | None (both parts) | $23.44 | $30.90 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $3.31 Typical High $5.13 | Professional | 26 · Professional part | $2.88 | $3.31 | $5.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $30.20 | $93.33 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.47 Median $4.07 Typical High $6.17 | Professional | 26 · Professional part | $3.47 | $4.07 | $6.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $25.12 | $89.13 | $123.03 |
Aultcare Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $28.18 | $28.18 | $39.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2.82 Median $18.62 Typical High $28.18 | Professional | None (both parts) | $2.82 | $18.62 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.20 Typical High $75.86 | Professional | None (both parts) | $22.39 | $30.20 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $4.07 Typical High $6.76 | Professional | 26 · Professional part | $3.09 | $4.07 | $6.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $70.79 | Professional | TC · Technical part | $19.50 | $25.70 | $70.79 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $138.04 Median $338.84 Typical High $676.08 | Facility | None | $138.04 | $338.84 | $676.08 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.20 Typical High $75.86 | Professional | None (both parts) | $22.39 | $30.20 | $75.86 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $4.07 Typical High $7.24 | Professional | 26 · Professional part | $3.09 | $4.07 | $7.24 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $64.57 | Professional | TC · Technical part | $19.50 | $25.70 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.39 Median $38.02 Typical High $54.95 | Professional | None (both parts) | $22.39 | $38.02 | $54.95 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $104.71 | Professional | None (both parts) | $22.91 | $26.92 | $104.71 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $3.98 Typical High $6.92 | Professional | 26 · Professional part | $3.39 | $3.98 | $6.92 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $97.72 | Professional | TC · Technical part | $19.50 | $22.91 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $35.48 Typical High $102.33 | Professional | None (both parts) | $21.88 | $35.48 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $4.27 Typical High $6.46 | Professional | 26 · Professional part | $2.95 | $4.27 | $6.46 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $31.62 Typical High $89.13 | Professional | TC · Technical part | $18.62 | $31.62 | $89.13 |
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 $11.75 Median $11.75 Typical High $169.82 | Professional | 52 · Reduced service | $11.75 | $11.75 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $69.18 | Professional | 53 · Discontinued | $4.68 | $4.68 | $69.18 |
Where Ohio sits
The same service costs 2.9 times more in Kansas than in Maryland. 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· 21st of 51
$42.66
KS $74.13MD $25.70
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.