How much rates vary
Facilitymedian $2,399 · 10th to 90th $891 to $10,965Professionalmedian $871 · 10th to 90th $117 to $1,660
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 $1,584.89 Median $3,235.94 Typical High $12,589.25 | Facility | None | $1,584.89 | $3,235.94 | $12,589.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $162.18 Median $363.08 Typical High $457.09 | Facility | 26 · Professional part | $162.18 | $363.08 | $457.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $758.58 Median $1,659.59 Typical High $2,454.71 | Facility | TC · Technical part | $758.58 | $1,659.59 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,584.89 Typical High $9,332.54 | Professional | None (both parts) | $851.14 | $1,584.89 | $9,332.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $162.18 Typical High $446.68 | Professional | 26 · Professional part | $138.04 | $162.18 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $776.25 Typical High $1,995.26 | Professional | TC · Technical part | $724.44 | $776.25 | $1,995.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $194.98 | Professional | 26 · Professional part | $125.89 | $151.36 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $10,715.19 | Facility | None | $794.33 | $1,819.70 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,023.29 Typical High $2,398.83 | Professional | None (both parts) | $707.95 | $1,023.29 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $186.21 Typical High $281.84 | Professional | 26 · Professional part | $138.04 | $186.21 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $812.83 Typical High $1,096.48 | Professional | TC · Technical part | $512.86 | $812.83 | $1,096.48 |
CareSource Setting Facility Modifier None Typical Low $158.49 Median $794.33 Typical High $954.99 | Facility | None | $158.49 | $794.33 | $954.99 |
CareSource Setting Professional Modifier None (both parts) Typical Low $154.88 Median $758.58 Typical High $977.24 | Professional | None (both parts) | $154.88 | $758.58 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $3,090.30 | Facility | None | $1,621.81 | $1,905.46 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,023.29 Typical High $1,621.81 | Professional | None (both parts) | $776.25 | $1,023.29 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $173.78 Typical High $331.13 | Professional | 26 · Professional part | $131.83 | $173.78 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $851.14 Typical High $1,348.96 | Professional | TC · Technical part | $645.65 | $851.14 | $1,348.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $3,981.07 | Facility | None | $1,621.81 | $1,905.46 | $3,981.07 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,023.29 Typical High $1,621.81 | Professional | None (both parts) | $776.25 | $1,023.29 | $1,621.81 |
Medical Mutual of Ohio Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $173.78 Typical High $331.13 | Professional | 26 · Professional part | $131.83 | $173.78 | $331.13 |
Medical Mutual of Ohio Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $851.14 Typical High $1,348.96 | Professional | TC · Technical part | $645.65 | $851.14 | $1,348.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $758.58 Typical High $1,071.52 | Professional | None (both parts) | $104.71 | $758.58 | $1,071.52 |
SummaCare Setting Facility Modifier None Typical Low $870.96 Median $933.25 Typical High $1,047.13 | Facility | None | $870.96 | $933.25 | $1,047.13 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $831.76 Median $912.01 Typical High $1,548.82 | Professional | None (both parts) | $831.76 | $912.01 | $1,548.82 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,630.27 Typical High $8,709.64 | Facility | None | $851.14 | $2,630.27 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,023.29 Typical High $2,089.30 | Professional | None (both parts) | $794.33 | $1,023.29 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $194.98 Typical High $338.84 | Professional | 26 · Professional part | $134.90 | $194.98 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $831.76 Typical High $1,778.28 | Professional | TC · Technical part | $645.65 | $831.76 | $1,778.28 |
1 more rate 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 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $2,238.72 | Professional | 54 · Surgery only | $645.65 | $645.65 | $2,238.72 |
Where Ohio sits
The same service costs 4.3 times more in Wisconsin 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· 46th of 51
$977
WI $3,467NY $813
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.