How much rates vary
Facilitymedian $525 · 10th to 90th $257 to $1,445Professionalmedian $178 · 10th to 90th $87 to $282
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 $194.98 Median $380.19 Typical High $645.65 | Facility | None | $194.98 | $380.19 | $645.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $144.54 Typical High $245.47 | Facility | 26 · Professional part | $74.13 | $144.54 | $245.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $223.87 Typical High $398.11 | Facility | TC · Technical part | $123.03 | $223.87 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $602.56 | Professional | None (both parts) | $190.55 | $199.53 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $199.53 | Professional | 26 · Professional part | $72.44 | $72.44 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $295.12 | Professional | TC · Technical part | $117.49 | $117.49 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $75.86 | $79.43 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $144.54 | $177.83 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $66.07 | $81.28 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $100.00 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $64.57 | $107.15 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $177.83 | $234.42 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $91.20 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $141.25 | $229.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $2,137.96 | Facility | None | $954.99 | $1,348.96 | $2,137.96 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $173.78 | $234.42 | $338.84 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $91.20 | $138.04 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $107.15 | $141.25 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $67.61 | $138.04 | $239.88 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $181.97 | $213.80 | $407.38 |
SummaCare Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $81.28 | $154.88 |
SummaCare Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $112.20 | $131.83 | $245.47 |
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 $154.88 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $154.88 | $218.78 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $87.10 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $131.83 | $223.87 |
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 $95.50 Median $95.50 Typical High $363.08 | Professional | 52 · Reduced service | $95.50 | $95.50 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $144.54 | Professional | 53 · Discontinued | $38.02 | $38.02 | $144.54 |
Where Ohio sits
The same service costs 3.9 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· 45th of 51
$178
AK $468UT $120
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.